Provider Demographics
NPI:1821432022
Name:ALRAHMA CARE TRANSPORTATION
Entity Type:Organization
Organization Name:ALRAHMA CARE TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ELAMIN
Authorized Official - Middle Name:ABKER BUSH
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-760-9102
Mailing Address - Street 1:3825 W MCDOWELL RD
Mailing Address - Street 2:1007
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85009-2208
Mailing Address - Country:US
Mailing Address - Phone:602-760-9102
Mailing Address - Fax:
Practice Address - Street 1:3825 W MCDOWELL RD
Practice Address - Street 2:1007
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85009-2208
Practice Address - Country:US
Practice Address - Phone:602-760-9102
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-18
Last Update Date:2013-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ509322302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ779298OtherPROVIDER ID: