Indigenous Innovations

Primary specialty

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

License

NMPRC 56258 Issued in NM

Legal business name

INDIGENOUS INNOVATIONS

Practice address

913 W Apache St
Farmington, NM 87401-3899

Phone

(505) 686-4903

NPI assigned

Dec 20, 2012

Last updated

Jan 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Walter Barber Jr.

Title

Principal Owner

Phone

(505) 686-4903

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1134465024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2885",
            "city": "KIRTLAND",
            "state": "NM",
            "postal_code": "874172885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 W APACHE ST",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874013899",
            "telephone_number": "505-686-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIGENOUS INNOVATIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-20",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "PRINCIPAL OWNER",
        "authorized_official_telephone_number": "505-686-4903",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NM",
            "license": "NMPRC 56258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70727066",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "763448",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• I Groups Medical Transport LLC
• Ideal Physical Therapy LLC
• Igw Children's Hope Foundation
• Sardar Zakariya Imam, M.D.
• Independent MRI Center LLC (Independent MRI)
• Infinite Health Chiropractic Wellness Center LLC
• Infinity Medical Supply LLC
• Jonathan Ingram, CSW
• Inquest Medical Associates New Mexico, LLC
• Integrated Concepts, Inc. (PharmaCare Health Services)

• Non-emergency Medical Transport (VAN) in Farmington, NM
• Providers in Farmington, 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 7, 2013; 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.