Healthcare Provider Details
I. General information
NPI: 1720834922
Provider Name (Legal Business Name): ALL HANDS MEDICAL TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/29/2024
Last Update Date: 04/29/2024
Certification Date: 04/28/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4731 W ALMOND AVE
COOLIDGE AZ
85128-7210
US
IV. Provider business mailing address
4731 W ALMOND AVE
COOLIDGE AZ
85128-7210
US
V. Phone/Fax
- Phone: 520-414-3008
- Fax:
- Phone: 520-414-3008
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 342000000X |
| Taxonomy | Transportation Network Company |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
KAREN
DAHL
Title or Position: OWNER OPERATOR
Credential:
Phone: 520-414-3008