Active NPI
Eagle Transportation Services, LLC.
- Transportation Network Company
- Tucson, AZ
National Provider Identifier
1407530652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Network Company
- Legal business name
- EAGLE TRANSPORTATION SERVICES, LLC.
- Practice address
- 3425 E Grant Rd Ste 100
Tucson, AZ 85716-2840 - Phone
- (415) 424-0419
- NPI assigned
- Jun 9, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra Patricia Balinda-Kamanyire
- Title
- Ceo
- Phone
- (415) 424-0419
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transportation Network Company | 342000000X | Primary |
Addresses
Primary practice location
3425 E Grant Rd Ste 100
Tucson, AZ 85716-2840
Mailing address
3425 E Grant Rd Ste 100
Tucson, AZ 85716-2840
Phone (415) 424-0419
National Provider Directory
National Provider DirectoryLocations
1208 E Broadway Rd
Ste 202
Tempe, AZ 85282
3425 E Grant Rd
Ste 100
Tucson, AZ 85716
Phone (480) 306-1423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686268800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710720000000",
"number": "1407530652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 E GRANT RD STE 100",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857162840",
"telephone_number": "415-424-0419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 E GRANT RD STE 100",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857162840",
"telephone_number": "415-424-0419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EAGLE TRANSPORTATION SERVICES, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-09",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A",
"authorized_official_last_name": "BALINDA-KAMANYIRE",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "PATRICIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "415-424-0419"
},
"taxonomies": [
{
"code": "342000000X",
"taxonomy_group": "",
"desc": "Transportation Network Company",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.