Provider Demographics
NPI:1861742595
Name:PAPAGO TRANSPORT SERVICES
Entity type:Organization
Organization Name:PAPAGO TRANSPORT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ISMAIL
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:ISMAIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-573-2627
Mailing Address - Street 1:5302 E VAN BUREN ST
Mailing Address - Street 2:2015
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-7965
Mailing Address - Country:US
Mailing Address - Phone:602-573-2627
Mailing Address - Fax:
Practice Address - Street 1:5302 E VAN BUREN ST
Practice Address - Street 2:2015
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85008-7965
Practice Address - Country:US
Practice Address - Phone:602-573-2627
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-10
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi