Healthcare Provider Details

I. General information

NPI: 1417427451
Provider Name (Legal Business Name): A & Y NON EMERGENCY MED TRANS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2018
Last Update Date: 03/19/2021
Certification Date: 03/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2605 N 107TH DR
AVONDALE AZ
85392-5482
US

IV. Provider business mailing address

2605 N 107TH DR
AVONDALE AZ
85392-5482
US

V. Phone/Fax

Practice location:
  • Phone: 480-323-0916
  • Fax:
Mailing address:
  • Phone: 480-323-0916
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: MS. ARMIDA FLORES
Title or Position: OWNER
Credential:
Phone: 480-323-0916