Active NPI
Forus Transportation
- Non-emergency Medical Transport (VAN)
- Goodyear, AZ
National Provider Identifier
1699082313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 343900000X
- Legal business name
- FORUS TRANSPORTATION
- Practice address
- 9330 S 178TH Ave
Goodyear, AZ 85338-9643 - Phone
- (623) 760-3272
- NPI assigned
- Sep 1, 2010
- 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
- Mr. Enrique Arevalo
- Title
- Owner
- Phone
- (623) 760-3272
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 343900000X | AZ | Primary |
Addresses
Primary practice location
9330 S 178TH Ave
Goodyear, AZ 85338-9643
Mailing address
9330 S 178TH Ave
Goodyear, AZ 85338-9643
Phone (623) 760-3272
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1283299200000",
"number": "1699082313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9330 S 178TH AVE",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853389643",
"telephone_number": "623-760-3272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9330 S 178TH AVE",
"city": "GOODYEAR",
"state": "AZ",
"postal_code": "853389643",
"telephone_number": "623-760-3272"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORUS TRANSPORTATION",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-01",
"last_updated": "2010-09-01",
"status": "A",
"authorized_official_last_name": "AREVALO",
"authorized_official_first_name": "ENRIQUE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "623-760-3272",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "AZ",
"license": "343900000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Goodyear, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.