Provider Demographics
NPI:1033364153
Name:SARA MEDITRANS LLC
Entity Type:Organization
Organization Name:SARA MEDITRANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANCOIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MATJE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-841-7495
Mailing Address - Street 1:PO BOX 56371
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85079-6371
Mailing Address - Country:US
Mailing Address - Phone:602-841-7495
Mailing Address - Fax:602-242-1421
Practice Address - Street 1:5028 N 41ST AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85019-2820
Practice Address - Country:US
Practice Address - Phone:602-841-7495
Practice Address - Fax:602-242-1421
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-18
Last Update Date:2008-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)