Provider Demographics
NPI:1134450588
Name:WAY TO GO TRANSPORTATION
Entity type:Organization
Organization Name:WAY TO GO TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:TOMONGO
Authorized Official - Middle Name:DE'VELL
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-348-2141
Mailing Address - Street 1:2700 N HAYDEN RD
Mailing Address - Street 2:SUITE 2067
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85257-1758
Mailing Address - Country:US
Mailing Address - Phone:602-348-2141
Mailing Address - Fax:
Practice Address - Street 1:2700 N HAYDEN RD
Practice Address - Street 2:SUITE 2067
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85257-1758
Practice Address - Country:US
Practice Address - Phone:602-348-2141
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-25
Last Update Date:2010-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZB13790633343900000X, 344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)