Provider Demographics
NPI:1043352008
Name:H&M ROGERS, LLC
Entity Type:Organization
Organization Name:H&M ROGERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:928-776-0772
Mailing Address - Street 1:8170 E ASHLEY DR
Mailing Address - Street 2:
Mailing Address - City:PRESCOTT VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86314-6101
Mailing Address - Country:US
Mailing Address - Phone:928-776-0772
Mailing Address - Fax:928-778-0167
Practice Address - Street 1:8170 E ASHLEY DR
Practice Address - Street 2:
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-6101
Practice Address - Country:US
Practice Address - Phone:928-776-0772
Practice Address - Fax:928-778-0167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ911835OtherYAVAPAI COUNTY LONG TERM