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THE PETTIS GROUP LLC NPI 1275298960


NPI Information

NPI: 1275298960
Provider Name: THE PETTIS GROUP, LLC
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Address:
3119 W COCHISE DR
UNIT 154
PHOENIX, AZ
ZIP 85051
Phone: (602) 960-4886
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THE PETTIS GROUP, LLC is a non emergency medical transport van in Phoenix, AZ. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. THE PETTIS GROUP, LLC NPI is 1275298960. The provider is registered as an organization entity type.

The provider's business location address is:

3119 W COCHISE DR
UNIT 154
PHOENIX, AZ
ZIP 85051
Phone: (602) 960-4886
Fax: (602) 960-4876

The provider's authorized official is Damon Knighton .
The authorized official title is Owner and has the following contact phone number (480) 495-1776.

The enumeration date for this NPI number is 11/8/2021 and was last updated on 11/8/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1343900000XNon-emergency Medical Transport (VAN)Yes

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: 4/28/2024

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