MEDICARE: TRAX INTERNATIONAL INC

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)	881377	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972839108
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRAX INTERNATIONAL INC

Provider Business Mailing Address
First Line	:	3901 N VIA DE CORDOBA
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85749-9116
Country	:	US
Telephone Number	:	520-906-5444
Fax Number	:	520-760-0043

Provider Business Practice Location Address
First Line	:	6627 S TUCSON BLVD
Second Line	:	SUITE B
City	:	TUCSON
State	:	AZ
Zip	:	85756-7011
Country	:	US
Telephone Number	:	520-807-5800
Fax Number	:	520-807-5801

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	MRS. JANETTE M HUNTER
Credential	:	MBA
Telephone Number	:	520-906-5444

Provider Enumeration Date	:	10/22/2009
Last Update Date	:	10/22/2009

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Directions to “TRAX INTERNATIONAL INC ” Practice Location

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