Provider Demographics
NPI:1679860688
Name:TRIPP'S NON EMERGENCY TRANSPORTATION COMPANY
Entity Type:Organization
Organization Name:TRIPP'S NON EMERGENCY TRANSPORTATION COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RON
Authorized Official - Middle Name:R
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-340-8224
Mailing Address - Street 1:5133 W PURDUE AVE
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85302-3428
Mailing Address - Country:US
Mailing Address - Phone:623-340-8224
Mailing Address - Fax:
Practice Address - Street 1:5133 W PURDUE AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85302-3428
Practice Address - Country:US
Practice Address - Phone:623-340-8224
Practice Address - Fax:623-930-1501
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EXECUTIVE PRESSURE WASH & DETAIL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-06-29
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ500001776343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)