NPIMap

Organization Active NPI

Community Medical Services IV LLC

  • Non-emergency Medical Transport (VAN)
  • Phoenix, AZ
National Provider Identifier
1619172004
Registry record updated Jun 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
BH-2701 Issued in AZ
Legal business name
COMMUNITY MEDICAL SERVICES IV LLC
Practice address
3825 N 24TH St
Phoenix, AZ 85016-6512
Phone
(602) 248-8886
Fax
(602) 248-8999
NPI assigned
Jun 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Keely N. Torres
Title
Quality Improvement
Phone
(602) 248-8886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X BH-2701 AZ Primary

Addresses

Primary practice location

3825 N 24TH St
Phoenix, AZ 85016-6512

Mailing address

3825 N 24TH St
Phoenix, AZ 85016-6512
Phone (602) 248-8886

Other identifiers 1

IdentifierTypeStateIssuer
961898MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Community Medical Services IV LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245888000000",
    "number": "1619172004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 N 24TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166512",
            "telephone_number": "602-248-8886",
            "fax_number": "602-248-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 N 24TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850166512",
            "telephone_number": "602-248-8886",
            "fax_number": "602-248-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL SERVICES IV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2009-06-25",
        "status": "A",
        "authorized_official_last_name": "TORRES",
        "authorized_official_first_name": "KEELY",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "QUALITY IMPROVEMENT",
        "authorized_official_telephone_number": "602-248-8886",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "BH-2701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "961898",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.