Provider Demographics
NPI:1093015976
Name:3 CANYONS TRANSIT CO. LLC
Entity Type:Organization
Organization Name:3 CANYONS TRANSIT CO. LLC
Other - Org Name:ARIZONA SUNSHINE TOURS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER MEMBER MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:C
Authorized Official - Last Name:GRZYWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-803-6713
Mailing Address - Street 1:PO BOX 1431
Mailing Address - Street 2:
Mailing Address - City:HEREFORD
Mailing Address - State:AZ
Mailing Address - Zip Code:85615-1431
Mailing Address - Country:US
Mailing Address - Phone:520-803-6713
Mailing Address - Fax:520-803-7080
Practice Address - Street 1:4771 E HEREFORD RD
Practice Address - Street 2:
Practice Address - City:HEREFORD
Practice Address - State:AZ
Practice Address - Zip Code:85615-9415
Practice Address - Country:US
Practice Address - Phone:520-803-6713
Practice Address - Fax:520-803-7080
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)