Provider Demographics
NPI:1295953560
Name:PHOENIX EI TRANSPORTATION INC
Entity type:Organization
Organization Name:PHOENIX EI TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-230-1414
Mailing Address - Street 1:2730 W AGUA FRIA FWY STE 205
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-7214
Mailing Address - Country:US
Mailing Address - Phone:602-230-1414
Mailing Address - Fax:602-230-1422
Practice Address - Street 1:2730 W. AGUA FRIA FREEWAY
Practice Address - Street 2:STE #206
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027
Practice Address - Country:US
Practice Address - Phone:602-230-1414
Practice Address - Fax:602-230-1422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-23
Last Update Date:2019-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ757817Medicaid
AZ002670686OtherEVERCARE SELECT PROVIDER