Provider Demographics
NPI:1366721045
Name:ZEPHYR TRANSIT LLC
Entity type:Organization
Organization Name:ZEPHYR TRANSIT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARISOL
Authorized Official - Middle Name:GUADALUPE
Authorized Official - Last Name:CALLAGHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-975-7000
Mailing Address - Street 1:PO BOX 1801
Mailing Address - Street 2:
Mailing Address - City:SURPRISE
Mailing Address - State:AZ
Mailing Address - Zip Code:85378-1801
Mailing Address - Country:US
Mailing Address - Phone:623-975-7000
Mailing Address - Fax:623-537-5550
Practice Address - Street 1:9131 W QUAIL AVE
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-5360
Practice Address - Country:US
Practice Address - Phone:623-975-7000
Practice Address - Fax:623-537-5550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-11
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ23457343900000X, 347C00000X, 344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ550194OtherARIZONA HEALTH CARE COST CONTAINMENT SYSTEMS (AHCCCS)