NPIMap

Organization Active NPI

White Mountain Transport Inc

  • Non-emergency Medical Transport (VAN)
  • Gallup, NM
National Provider Identifier
1043680507
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
5115019 Issued in NM
Legal business name
WHITE MOUNTAIN TRANSPORT INC
Practice address
3316 E Highway 66
Gallup, NM 87301-4651
Phone
(505) 879-5599
NPI assigned
Sep 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Authorized official

Name
Ms. Trisha Lapaz
Title
Administrator
Phone
(505) 879-5599

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 5115019 NM
Non-emergency Medical Transport (VAN) 343900000X 5115019 NM Primary

Addresses

Primary practice location

3316 E Highway 66
Gallup, NM 87301-4651

Mailing address

109 Naiche Dr.
Mescalero, NM 88340
Phone (505) 879-5599

National Provider Directory

National Provider Directory

Locations

3316 E Highway 66
Gallup, NM 87301
Phone (505) 879-5599

NPI Registry JSON

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

{
    "created_epoch": "1443398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443398400000",
    "number": "1043680507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 NAICHE DR.",
            "city": "MESCALERO",
            "state": "NM",
            "postal_code": "88340",
            "telephone_number": "505-879-5599",
            "fax_number": "505-722-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3316 E HIGHWAY 66",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014651",
            "telephone_number": "505-879-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE MOUNTAIN TRANSPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-28",
        "last_updated": "2015-09-28",
        "status": "A",
        "authorized_official_last_name": "LAPAZ",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "505-879-5599",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NM",
            "license": "5115019",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NM",
            "license": "5115019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallup, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.