Provider Demographics
NPI:1033325394
Name:ARIZONA HEALTH OPTION, INC
Entity Type:Organization
Organization Name:ARIZONA HEALTH OPTION, INC
Other - Org Name:MOUNTAIN TRANSPORTATION SPECIALISTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KYE
Authorized Official - Middle Name:
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:928-472-2300
Mailing Address - Street 1:PO BOX 1240
Mailing Address - Street 2:
Mailing Address - City:PAYSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85547-1240
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:928-472-2302
Practice Address - Street 1:102 W ROUNDUP RD STE B
Practice Address - Street 2:
Practice Address - City:PAYSON
Practice Address - State:AZ
Practice Address - Zip Code:85541-3153
Practice Address - Country:US
Practice Address - Phone:928-472-2300
Practice Address - Fax:928-472-2302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)