Organization Active NPI

Whitehorse Medical Transportation 1 LLC

  • Non-emergency Medical Transport (VAN)
  • Glendale, AZ
National Provider Identifier
1013722768
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
WHITEHORSE MEDICAL TRANSPORTATION 1 LLC
Doing business as
Whitehorse Medical Transportation 1 LLC
Practice address
7566 W Keim Dr
Glendale, AZ 85303-4244
Phone
(480) 220-3554
Fax
(602) 888-2497
NPI assigned
Feb 10, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Authorized official

Name
Merih E GebrezgiabherNPI 1205525383
Title
Owner
Phone
(480) 220-3554

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

7566 W Keim Dr
Glendale, AZ 85303-4244

Mailing address

7566 W Keim Dr
Glendale, AZ 85303-4244
Phone (480) 220-3554

Other names 1

  • Whitehorse Medical Transportation 1 LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1013722768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7566 W KEIM DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853034244",
            "telephone_number": "480-220-3554",
            "fax_number": "602-888-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7566 W KEIM DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853034244",
            "telephone_number": "480-220-3554",
            "fax_number": "602-888-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITEHORSE MEDICAL TRANSPORTATION 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "GEBREZGIABHER",
        "authorized_official_first_name": "MERIH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-220-3554"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitehorse Medical Transportation 1 LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.