Ridesource Holdings

LBN: Ridesource Holdings
Ridesource Holdings is an health care organization with primary practice located at 4600 W Camelback Rd , Glendale AZ 85301-7609. The organization recently has only one registered license in Transportation Services / Transportation Broker, which is considered as the primary health care specialty. Ridesource Holdings can be contacted via phone (602) 200-5500, or through Sylvan, Scott via phone (602) 200-5500.

Contact Information

Primary practice address
4600 W Camelback Rd Glendale AZ 85301-7609
Phone: (602) 200-5500
Fax: (602) 200-5505
Website:
Map and Directions
Authorized official contact:
Name: Sylvan, Scott
Phone: (602) 200-5500

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Transportation Broker 347E00000X Arizona

Profile Details

NPI number 1043582299
LBN Legal business name Ridesource Holdings
DBA Doing business as
Authorized official Sylvan, Scott
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 3rd, 2012
Last updated Feb 3rd, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043582299 NPPES
Arizona MEDICAID 1376695163

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