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NPI Code Detail

MEDICARE: EZ MEDICAL TRANSPORTATION LLC

MEDICARE: EZ MEDICAL TRANSPORTATION 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
1342000000XTransportation Network Company
2343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1851172324
Entity Type Code : Organization
Provider Name (Legal Business Name) : EZ MEDICAL TRANSPORTATION LLC
Provider Business Mailing Address
First Line : 10 W MINNEZONA AVE APT 1036
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4926
Country : US
Telephone Number : 408-421-6939
Fax Number :
Provider Business Practice Location Address
First Line : 10 W MINNEZONA AVE APT 1036
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-4926
Country : US
Telephone Number : 408-421-6939
Fax Number :
Authorized Official
Title or Position : PROJECT MANAGER
Name : CATHY ARCE
Credential :
Telephone Number : 480-980-5872
Provider Enumeration Date : 10/11/2023
Last Update Date : 10/11/2023

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Directions to “EZ MEDICAL TRANSPORTATION LLC ” Practice Location

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