Provider Demographics
NPI:1013741347
Name:FREEDOM NON EMERGENCY MEDICAL TRANSPORTATION LLC.
Entity type:Organization
Organization Name:FREEDOM NON EMERGENCY MEDICAL TRANSPORTATION LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PEDRO
Authorized Official - Middle Name:S
Authorized Official - Last Name:MEDEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-373-1186
Mailing Address - Street 1:18402 N 19TH AVE
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85023-1361
Mailing Address - Country:US
Mailing Address - Phone:480-873-8941
Mailing Address - Fax:
Practice Address - Street 1:321 E WICKIEUP LN
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85024-1631
Practice Address - Country:US
Practice Address - Phone:602-373-1186
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-29
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle