GERARDO GRIJALVA (NPI# 1851700488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851700488 |
| Entity Type | Individual |
| Full Name | GERARDO GRIJALVA |
| Practice Address |
2714 E 6th St Douglas AZ 85607 |
| Mailing Address |
2714 E 6th St Douglas AZ 85607-3526 |
| Practice Telephone | 5203686937 |
| Mailing Telephone | 5203686937 |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | D00985585 | AZ | Transportation Services |
| Street Address |
2714 E 6TH ST |
| City | DOUGLAS |
| State | AZ |
| Zip Code | 85607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811472665 | Chiricahua Community Health Centers, Inc | Clinic/Center | 1151 16th Street, Douglas, AZ 85607 | 2018-09-27 |
| 1457758609 | Angela Leah Overturf | Nurse Practitioner | 100 East 5th Street, Douglas, AZ 85607 | 2014-12-02 |
| 1609279108 | Walter Tucker | Counselor | 2100 E 8th, Douglas, AZ 85607 | 2014-09-29 |
| 1174933246 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 1019 F Ave, Douglas, AZ 85607 | 2014-04-29 |
| 1831473164 | Cheryl Lynn Mcneeley | Speech-Language Pathologist | 815 E. 15th Street, Douglas, AZ 85607 | 2011-10-05 |
| 1245523364 | Community Intervention Associates | Community/Behavioral Health | 1701 North Douglasave, Douglas, AZ 85607 | 2011-05-23 |
| 1174820898 | Chiricahua Community Health Centers, Inc | Clinic/Center | 815 15th Street, Douglas, AZ 85607 | 2011-02-15 |
| 1033319512 | Community Healthcare of Douglas Inc | Clinic/Center | 1906 11th Street, Douglas, AZ 85607 | 2007-07-23 |
| 1538360888 | Jay Daniel Zamora | Chiropractor | 1915 E 10th St, Douglas, AZ 85607 | 2007-05-31 |
| 1174736177 | Suzanne Marie Crase | Pharmacist | 90 Fifth St., Douglas, AZ 85607 | 2007-05-07 |
| Find all providers in zip 85607 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225690332 | Mohamed Bourahi Alsoubaii | Non-emergency Medical Transport (VAN) | 2021 N Pan American Ave, Douglas, AZ 85607-1137 | 2019-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033500 | M&m Medical Transportation | Non-emergency Medical Transport (VAN) | 4421 W Cholla St, Glendale, AZ 85304-3533 | 2020-11-03 |
| 1528667045 | Raymond George Bulot | Non-emergency Medical Transport (VAN) | 2331 W Palm Ln, Phoenix, AZ 85009-2902 | 2020-10-26 |
| 1033718275 | Husameldin Osman | Non-emergency Medical Transport (VAN) | 4610 S Rural Rd Apt 508, Tempe, AZ 85282-7039 | 2020-10-19 |
| 1306452552 | Michael Rebuck | Non-emergency Medical Transport (VAN) | 1325 W Roma Ave, Phoenix, AZ 85013-2827 | 2020-09-22 |
| 1942812417 | Hopefaith Transportation Inc | Non-emergency Medical Transport (VAN) | 4422 N 75th St Unit 6010, Scottsdale, AZ 85251-4080 | 2020-08-17 |
| 1174131247 | Nemt Solution | Non-emergency Medical Transport (VAN) | 872 E Morelos St, Chandler, AZ 85225-6465 | 2020-07-15 |
| 1942826219 | Ashraf Ali Omer Sr. | Non-emergency Medical Transport (VAN) | 19820 N 13th Ave Unit 147, Phoenix, AZ 85027-4310 | 2020-06-22 |
| 1184240954 | Extreme Medical Transportation | Non-emergency Medical Transport (VAN) | 34000 N 27th Dr Unit 3069, Phoenix, AZ 85085-6646 | 2020-06-17 |
| 1669094199 | Up Right Transportation LLC | Non-emergency Medical Transport (VAN) | 4532 E Gleneagle Dr, Chandler, AZ 85249-7428 | 2020-05-06 |
| 1124649165 | Tracie Armstead-payton | Non-emergency Medical Transport (VAN) | 42778 W Irene Rd, Maricopa, AZ 85138-5898 | 2020-04-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.