MEDICARE: GA RELIABLE TRANSPORTATION

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	347C00000X	Private Vehicle
2	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1073497038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GA RELIABLE TRANSPORTATION

Provider Business Mailing Address
First Line	:	PO BOX 5177
Second Line	:
City	:	ARIZONA CITY
State	:	AZ
Zip	:	85123-2859
Country	:	US
Telephone Number	:	602-556-3482
Fax Number	:

Provider Business Practice Location Address
First Line	:	9307 W CONCORDIA DR
Second Line	:
City	:	ARIZONA CITY
State	:	AZ
Zip	:	85123-7178
Country	:	US
Telephone Number	:	602-556-3482
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	HUMBERTO CORRALES
Credential	:
Telephone Number	:	602-556-3482

Provider Enumeration Date	:	08/04/2025
Last Update Date	:	08/04/2025

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Directions to “GA RELIABLE TRANSPORTATION ” Practice Location

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