Provider Demographics
NPI:1023759073
Name:ACS MEDICAL TRANSPORTATION LLC
Entity type:Organization
Organization Name:ACS MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:SANABRIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-499-5920
Mailing Address - Street 1:8050 N 19TH AVE STE 149
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85021-5160
Mailing Address - Country:US
Mailing Address - Phone:623-755-9690
Mailing Address - Fax:623-264-3324
Practice Address - Street 1:4425 W OLIVE AVE STE 301
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85302-3843
Practice Address - Country:US
Practice Address - Phone:860-794-6040
Practice Address - Fax:623-248-5008
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARISE COMMUNITY SOLUTIONS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-04-05
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)