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FAMILY FAITH MEDICAL TRANSPORT NPI 1083152235


NPI Information

NPI: 1083152235
Provider Name: FAMILY FAITH MEDICAL TRANSPORT
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Address:
1501 W AZTEC AVE TRLR 57
GALLUP, NM
ZIP 87301
Phone: (505) 879-6971
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FAMILY FAITH MEDICAL TRANSPORT is a non emergency medical transport van in Gallup, NM. The provider is 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. FAMILY FAITH MEDICAL TRANSPORT NPI is 1083152235. The provider is registered as an organization entity type.

The provider's business location address is:

1501 W AZTEC AVE TRLR 57
GALLUP, NM
ZIP 87301-663
Phone: (505) 879-6971
Fax: (505) 488-2495

The provider's authorized official is Lakerra L Kee .
The authorized official title is Owner Ceo and has the following contact phone number (505) 879-6971.

The enumeration date for this NPI number is 2/8/2017 and was last updated on 2/8/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1343900000XNon-emergency Medical Transport (VAN)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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