MEDICARE: SAWYERS YOUTH AND FAMILY SERVICES

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)

General Provider Information

NPI Number	:	1750181129
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAWYERS YOUTH AND FAMILY SERVICES

Provider Business Mailing Address
First Line	:	14034 W ROANOKE AVE
Second Line	:
City	:	GOODYEAR
State	:	AZ
Zip	:	85395-2479
Country	:	US
Telephone Number	:	602-880-4200
Fax Number	:

Provider Business Practice Location Address
First Line	:	3938 E CAMPBELL AVE
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-3635
Country	:	US
Telephone Number	:	602-955-4100
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. MYRON DWAYNE SAWYER
Credential	:
Telephone Number	:	602-880-4200

Provider Enumeration Date	:	03/15/2025
Last Update Date	:	03/15/2025

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