Provider Demographics
NPI:1083774301
Name:AMERICAN SERVICE SYSTEMS INC
Entity Type:Organization
Organization Name:AMERICAN SERVICE SYSTEMS INC
Other - Org Name:AMERICAN HTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:H
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-258-0272
Mailing Address - Street 1:1401 E WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85034-1105
Mailing Address - Country:US
Mailing Address - Phone:602-258-0272
Mailing Address - Fax:602-258-0719
Practice Address - Street 1:1401 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85034-1105
Practice Address - Country:US
Practice Address - Phone:602-258-0272
Practice Address - Fax:602-258-0719
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ072653OtherAHCCCS