Organization Active NPI

Premier Medical Transport of Arizona

  • Taxi
  • Laveen, AZ
National Provider Identifier
1619429107
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
TaxiTaxonomy code 344600000X
License
21119394 Issued in AZ
Legal business name
PREMIER MEDICAL TRANSPORT OF ARIZONA
Practice address
3220 W Melody Dr
Laveen, AZ 85339-3826
Phone
(602) 672-4863
NPI assigned
Oct 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Authorized official

Name
Frostie Liggitt
Title
Owner
Phone
(602) 672-4863

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 21119394 AZ
Taxi 344600000X 21119394 AZ Primary

Addresses

Primary practice location

3220 W Melody Dr
Laveen, AZ 85339-3826

Mailing address

3220 W Melody Dr
Laveen, AZ 85339-3826
Phone (602) 672-4863

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1619429107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3220 W MELODY DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853393826",
            "telephone_number": "602-672-4863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3220 W MELODY DR",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853393826",
            "telephone_number": "602-672-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL TRANSPORT OF ARIZONA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "LIGGITT",
        "authorized_official_first_name": "FROSTIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-672-4863"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "21119394",
            "primary": false
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "AZ",
            "license": "21119394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.