Provider Demographics
NPI:1962708784
Name:NATIVE CARE MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:NATIVE CARE MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ATIF
Authorized Official - Middle Name:O
Authorized Official - Last Name:ABAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-639-3147
Mailing Address - Street 1:3113 W DESERT LN
Mailing Address - Street 2:
Mailing Address - City:LAVEEN
Mailing Address - State:AZ
Mailing Address - Zip Code:85339
Mailing Address - Country:US
Mailing Address - Phone:602-639-3147
Mailing Address - Fax:928-289-2523
Practice Address - Street 1:3113 W DESERT LN
Practice Address - Street 2:
Practice Address - City:LAVEEN
Practice Address - State:AZ
Practice Address - Zip Code:85339
Practice Address - Country:US
Practice Address - Phone:602-639-3147
Practice Address - Fax:928-289-2523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-27
Last Update Date:2013-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)