Individual provider · Type 1 NPI
Jim Gilbert
Private Vehicle · Fort Mohave, AZ
NPI number
1821392333
Active
Practice location
5760 S Eland Dr
Fort Mohave, AZ 86426-9293
Fax (888) 503-3633
Mailing address
14615 N 31st Ln
Phoenix, AZ 85053-4809
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 20634211 (AZ) |
| Private Vehicle Primary | 347C00000X | 20634211 (AZ) |
Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
2 other providers at this address
About NPI 1821392333
Jim Gilbert's National Provider Identifier is 1821392333, issued on Dec 28, 2010. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Fort Mohave, AZ. The record was last updated on Feb 8, 2011.