Healthcare Provider Details

I. General information

NPI: 1518897909
Provider Name (Legal Business Name): EMPOWERGO TRANSPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16448 N 40TH ST
PHOENIX AZ
85032-3304
US

IV. Provider business mailing address

16448 N 40TH ST
PHOENIX AZ
85032-3304
US

V. Phone/Fax

Practice location:
  • Phone: 480-548-2000
  • Fax:
Mailing address:
  • Phone: 480-548-2000
  • Fax:

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: ERIC SAINT WILLIAMS
Title or Position: CEO
Credential:
Phone: 623-206-1126