Mountain Blue Medical Trans LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

MOUNTAIN BLUE MEDICAL TRANS LLC

Practice address

500 Marquette Ave NW Ste 1200
Albuquerque, NM 87102-5312

Phone

(832) 209-0360

NPI assigned

Jan 11, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Abdullahi Hashi

Title

Owner

Phone

(832) 209-0360

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704931200000",
    "number": "1003687633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MARQUETTE AVE NW STE 1200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871025312",
            "telephone_number": "832-209-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MARQUETTE AVE NW STE 1200",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871025312",
            "telephone_number": "832-209-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN BLUE MEDICAL TRANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A",
        "authorized_official_last_name": "HASHI",
        "authorized_official_first_name": "ABDULLAHI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-209-0360"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Non-emergency Medical Transport (VAN) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.