Provider Demographics
NPI:1568787547
Name:PHOENIX ACCESSIBLE TRANSPORTATION
Entity Type:Organization
Organization Name:PHOENIX ACCESSIBLE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:VICTORIA
Authorized Official - Last Name:GARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-593-5445
Mailing Address - Street 1:7313 SCHOOLCRAFT LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-7499
Mailing Address - Country:US
Mailing Address - Phone:614-593-5445
Mailing Address - Fax:614-431-5898
Practice Address - Street 1:7313 SCHOOLCRAFT LN
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-7499
Practice Address - Country:US
Practice Address - Phone:614-593-5445
Practice Address - Fax:614-431-5898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-01
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)