Provider Demographics
NPI:1346133089
Name:PATIENT TRANSPORT OF TUCSON LLC
Entity type:Organization
Organization Name:PATIENT TRANSPORT OF TUCSON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF BUSINESS DEVELOPMENT
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-324-1690
Mailing Address - Street 1:1011 N CRAYCROFT RD STE 470
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-7313
Mailing Address - Country:US
Mailing Address - Phone:520-654-8000
Mailing Address - Fax:
Practice Address - Street 1:1011 N CRAYCROFT RD STE 470
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-7313
Practice Address - Country:US
Practice Address - Phone:520-654-8000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)