Provider Demographics
NPI:1245245919
Name:SAFE RIDE SERVICES, INC.
Entity Type:Organization
Organization Name:SAFE RIDE SERVICES, INC.
Other - Org Name:FIRST TRANSIT, INC.
Other - Org Type:Other Name
Authorized Official - Title/Position:AREA GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-627-6705
Mailing Address - Street 1:1951 W CAMELBACK RD
Mailing Address - Street 2:SUITE 115
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85015-3403
Mailing Address - Country:US
Mailing Address - Phone:602-627-6705
Mailing Address - Fax:602-627-6751
Practice Address - Street 1:1951 W CAMELBACK RD
Practice Address - Street 2:SUITE 115
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85015-3403
Practice Address - Country:US
Practice Address - Phone:602-627-6705
Practice Address - Fax:602-627-6751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-30
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ072869Medicaid
NMJ0041Medicaid