Provider Demographics
NPI:1740599067
Name:ARIZONA CARE TRNASPORTATION
Entity Type:Organization
Organization Name:ARIZONA CARE TRNASPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMI
Authorized Official - Middle Name:
Authorized Official - Last Name:TALAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-435-4443
Mailing Address - Street 1:6636 S FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85283-3620
Mailing Address - Country:US
Mailing Address - Phone:602-435-4443
Mailing Address - Fax:
Practice Address - Street 1:6636 S FOREST AVE
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85283-3620
Practice Address - Country:US
Practice Address - Phone:602-435-4443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)