Provider Demographics
NPI:1760754261
Name:RITE WAY EXPRESS MEDICAL TRANS
Entity Type:Organization
Organization Name:RITE WAY EXPRESS MEDICAL TRANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANGER
Authorized Official - Prefix:
Authorized Official - First Name:IBRAHIM
Authorized Official - Middle Name:AHMED
Authorized Official - Last Name:ELRAYAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-228-2745
Mailing Address - Street 1:1390 N ELLIS ST
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-8512
Mailing Address - Country:US
Mailing Address - Phone:480-228-2745
Mailing Address - Fax:
Practice Address - Street 1:1390 N ELLIS ST
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-8512
Practice Address - Country:US
Practice Address - Phone:480-228-2745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-31
Last Update Date:2012-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ538332343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)