Provider Demographics
NPI:1710304555
Name:COGENT NON-EMERGENCY TRANSPORT
Entity Type:Organization
Organization Name:COGENT NON-EMERGENCY TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNT EXECUTIVE
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:NAVARRO
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:602-909-6533
Mailing Address - Street 1:480 E WINCHESTER ST
Mailing Address - Street 2:STE. 210
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-7588
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3230 E BROADWAY RD
Practice Address - Street 2:STE. C130
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85040-2873
Practice Address - Country:US
Practice Address - Phone:602-909-6533
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANNAPURNA, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-03-18
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)