MEDICARE: ALRAHMA CARE 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	302R00000X	Health Maintenance Organization	509322	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	779298	OTHER	AZ	PROVIDER ID:

General Provider Information

NPI Number	:	1821432022
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALRAHMA CARE TRANSPORTATION

Provider Business Mailing Address
First Line	:	3825 W MCDOWELL RD
Second Line	:	1007
City	:	PHOENIX
State	:	AZ
Zip	:	85009-2208
Country	:	US
Telephone Number	:	602-760-9102
Fax Number	:

Provider Business Practice Location Address
First Line	:	3825 W MCDOWELL RD
Second Line	:	1007
City	:	PHOENIX
State	:	AZ
Zip	:	85009-2208
Country	:	US
Telephone Number	:	602-760-9102
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. ELAMIN ABKER BUSH AHMED
Credential	:
Telephone Number	:	602-760-9102

Provider Enumeration Date	:	04/18/2013
Last Update Date	:	04/18/2013

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Directions to “ALRAHMA CARE TRANSPORTATION ” Practice Location

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