Provider Demographics
NPI:1740325943
Name:NATIONWIDE FRESH AIR ACCESSIBLE, LLC
Entity type:Organization
Organization Name:NATIONWIDE FRESH AIR ACCESSIBLE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NETWORK DEVELOPMENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-393-7578
Mailing Address - Street 1:4222 E THOMAS RD
Mailing Address - Street 2:SUITE 220
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85018-7607
Mailing Address - Country:US
Mailing Address - Phone:602-393-7800
Mailing Address - Fax:602-393-7571
Practice Address - Street 1:4222 E THOMAS RD
Practice Address - Street 2:SUITE 220
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85018-7607
Practice Address - Country:US
Practice Address - Phone:602-393-7800
Practice Address - Fax:602-393-7571
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)