MEDICARE: DNMEDTRANS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)	320971	AZ

General Provider Information

NPI Number	:	1215251715
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DNMEDTRANS

Provider Business Mailing Address
First Line	:	3825 W MCDOWELL RD
Second Line	:	3825 W. MCDOWELL RD
City	:	PHOENIX
State	:	AZ
Zip	:	85009-2208
Country	:	US
Telephone Number	:	602-405-2241
Fax Number	:	602-595-0702

Provider Business Practice Location Address
First Line	:	3825 W MCDOWELL RD
Second Line	:	512
City	:	PHOENIX
State	:	AZ
Zip	:	85009-2208
Country	:	US
Telephone Number	:	602-405-2241
Fax Number	:	602-595-0702

Authorized Official
Title or Position	:	TRANSPORTATION
Name	:	MR. AMMAR ABD ADAM II
Credential	:	MEDICARE
Telephone Number	:	602-405-2241

Provider Enumeration Date	:	03/26/2010
Last Update Date	:	03/26/2010

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Directions to “DNMEDTRANS ” Practice Location

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