MEDICARE: TAMCO LLC

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	343900000X	Non-emergency Medical Transport (VAN)	L16677136	AZ

General Provider Information

NPI Number	:	1811318132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TAMCO LLC

Provider Business Mailing Address
First Line	:	8304 S 15TH ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85042-7904
Country	:	US
Telephone Number	:	602-300-9735
Fax Number	:	480-248-3189

Provider Business Practice Location Address
First Line	:	8304 S 15TH ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85042-7904
Country	:	US
Telephone Number	:	602-300-9735
Fax Number	:	480-248-3189

Authorized Official
Title or Position	:	PRIESIDENT
Name	:	MOHAMED A SALIH
Credential	:
Telephone Number	:	602-300-9735

Provider Enumeration Date	:	01/05/2014
Last Update Date	:	01/05/2014

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Directions to “TAMCO LLC ” Practice Location

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