Provider Demographics
NPI:1740204247
Name:RIDE PHOENIX TRANSPORTATION INC
Entity Type:Organization
Organization Name:RIDE PHOENIX TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:856-488-3510
Mailing Address - Street 1:7357 FORREST AVE
Mailing Address - Street 2:
Mailing Address - City:PENNSAUKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08110-4012
Mailing Address - Country:US
Mailing Address - Phone:856-488-3510
Mailing Address - Fax:856-665-5089
Practice Address - Street 1:2140 SHERMAN AVE
Practice Address - Street 2:
Practice Address - City:PENNSAUKEN
Practice Address - State:NJ
Practice Address - Zip Code:08110-4012
Practice Address - Country:US
Practice Address - Phone:856-488-3540
Practice Address - Fax:856-665-5089
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)