Healthcare Provider Details

I. General information

NPI: 1033051073
Provider Name (Legal Business Name): AZ CENTRAL PATIENT TRANSPORTATION SERVICE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2026
Last Update Date: 04/12/2026
Certification Date: 04/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

949 E BETSY LN
GILBERT AZ
85296-9760
US

IV. Provider business mailing address

949 E BETSY LN
GILBERT AZ
85296-9760
US

V. Phone/Fax

Practice location:
  • Phone: 480-395-7087
  • Fax: 480-546-4246
Mailing address:
  • Phone: 480-395-7087
  • Fax: 480-546-4246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: LEE EDWARD CRAWFORD
Title or Position: OWNER
Credential: RIDER SERVICE
Phone: 480-395-7087