SHUTTLE RUIDOSO LLC NPI 1396183547

NPI Information

  • NPI: 1396183547
  • Provider Name: SHUTTLE RUIDOSO, LLC
  • Classification: Non-emergency Medical Transport (VAN) - 343900000X
  • Entity Type: Organization
  • Address: 1096 MECHEM DR
    STE 312
    RUIDOSO, NM
    ZIP 88345
  • Phone: (575) 257-1815

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NPI Details

SHUTTLE RUIDOSO, LLC is a non emergency medical transport van in Ruidoso, 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. SHUTTLE RUIDOSO, LLC NPI is 1396183547. The provider is registered as an organization entity type.

The provider's business location address is:

1096 MECHEM DR
STE 312
RUIDOSO, NM
ZIP 88345
Phone: (575) 257-1815
Fax: (575) 257-1816

The provider's authorized official is David R Cason .
The authorized official title is President/ceo and has the following contact phone number (575) 973-4079.

The enumeration date for this NPI number is 6/10/2013 and was last updated on 6/25/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1343900000XNon-emergency Medical Transport (VAN)NMPRC 54678NEW MEXICOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
157550328MEDICAIDNEW MEXICO

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: 3/30/2025

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