Provider Demographics
NPI:1114224581
Name:CDE TRANSPORTATION & SERVICES
Entity Type:Organization
Organization Name:CDE TRANSPORTATION & SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:520-826-3449
Mailing Address - Street 1:220 W PAPAGO WAY
Mailing Address - Street 2:
Mailing Address - City:COCHISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85606-8714
Mailing Address - Country:US
Mailing Address - Phone:520-826-3449
Mailing Address - Fax:520-826-1716
Practice Address - Street 1:220 W PAPAGO WAY
Practice Address - Street 2:
Practice Address - City:COCHISE
Practice Address - State:AZ
Practice Address - Zip Code:85606-8714
Practice Address - Country:US
Practice Address - Phone:520-826-3449
Practice Address - Fax:520-826-1716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-22
Last Update Date:2011-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)