Active NPI
Premier Medical Transport of Arizona
- Taxi
- Laveen, AZ
National Provider Identifier
1619429107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Taxi
- License
- 21119394
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.