RIDESOURCE HOLDINGS NPI 1043582299

NPI Information

NPI: 1043582299
Provider Name: RIDESOURCE HOLDINGS
Classification: Transportation Broker - 347E00000X
Entity Type: Organization
Address:
4600 W CAMELBACK RD
GLENDALE, AZ
ZIP 85301
Phone: (602) 200-5500
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RIDESOURCE HOLDINGS is a transportation broker in Glendale, AZ. The provider is an organization that provides transportation for individuals who need access to medical care or services and have no other means of transportation. Transportation includes, but is not limited to, wheelchair van, taxi, stretcher car, bus passes and tickets, and secured transportation. RIDESOURCE HOLDINGS NPI is 1043582299. The provider is registered as an organization entity type.

The provider's business location address is:

4600 W CAMELBACK RD
GLENDALE, AZ
ZIP 85301-609
Phone: (602) 200-5500
Fax: (602) 200-5505

The provider's authorized official is Scott Sylvan .
The authorized official title is Controller and has the following contact phone number (602) 200-5500.

The enumeration date for this NPI number is 2/3/2012 and was last updated on 2/3/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	347E00000X	Transportation Broker			ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1376695163	MEDICAID	ARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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