Supreme Medical Transport

LBN: Supreme Health & Transport Service Llc
Supreme Medical Transport is an health care organization with primary practice located at 4572 N Avenida Polacca , Tucson AZ 85749-9524. The organization recently has 2 registered licenses in different health care specialties including Transportation Services / Non-emergency Medical Transport (VAN), Respite Care Facility / Respite Care. Transportation Services / Non-emergency Medical Transport (VAN) is the primary health care specialty. Supreme Health & Transport Service Llc can be contacted via phone (520) 529-9039, or through Okojie, Debbie Elaine via phone (520) 529-9039.

Contact Information

Primary practice address
4572 N Avenida Polacca Tucson AZ 85749-9524
Phone: (520) 529-9039
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Okojie, Debbie Elaine
Phone: (520) 529-9039

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X Arizona
Respite Care Facility / Respite Care 385H00000X Arizona

Profile Details

NPI number 1861785602
LBN Legal business name Supreme Health & Transport Service Llc
DBA Doing business as Supreme Medical Transport
Authorized official Okojie, Debbie Elaine
Entity Organization
Organization subpart 1 No
Enumeration date May 26th, 2011
Last updated May 26th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1861785602 NPPES
Arizona Other 608851 AHCCCS

Popular Providers