Provider Demographics
NPI:1194190272
Name:PHOENIX REVENUE CYCLE SOLUTIONS
Entity Type:Organization
Organization Name:PHOENIX REVENUE CYCLE SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-977-9564
Mailing Address - Street 1:1709 NIAGARA CT NW
Mailing Address - Street 2:
Mailing Address - City:ACWORTH
Mailing Address - State:GA
Mailing Address - Zip Code:30102-7972
Mailing Address - Country:US
Mailing Address - Phone:404-977-9564
Mailing Address - Fax:
Practice Address - Street 1:1709 NIAGARA CT NW
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30102-7972
Practice Address - Country:US
Practice Address - Phone:404-977-9564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-01
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)