Provider Demographics
NPI:1427731017
Name:HORIZON HEALTH TRANSPORT CORP
Entity type:Organization
Organization Name:HORIZON HEALTH TRANSPORT CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT&CEO
Authorized Official - Prefix:
Authorized Official - First Name:AVERY
Authorized Official - Middle Name:LUCIAN
Authorized Official - Last Name:PULS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:509-768-7991
Mailing Address - Street 1:1813 AMBAS DR
Mailing Address - Street 2:
Mailing Address - City:LAKE HAVASU CITY
Mailing Address - State:AZ
Mailing Address - Zip Code:86403-7445
Mailing Address - Country:US
Mailing Address - Phone:509-768-7991
Mailing Address - Fax:
Practice Address - Street 1:1813 AMBAS DR
Practice Address - Street 2:
Practice Address - City:LAKE HAVASU CITY
Practice Address - State:AZ
Practice Address - Zip Code:86403-7445
Practice Address - Country:US
Practice Address - Phone:509-768-7991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)