NPIMap

Organization Active NPI

Avila Medical Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Grand Junction, CO
National Provider Identifier
1225503907
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
AVILA MEDICAL TRANSPORT LLC
Practice address
2813 Day Break Ave
Grand Junction, CO 81506-4888
Phone
(970) 210-7083
NPI assigned
Oct 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Authorized official

Name
Rafael Arias
Title
Manager
Phone
(970) 230-7286

Specialties & licenses 1

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

Addresses

Primary practice location

2813 Day Break Ave
Grand Junction, CO 81506-4888

Mailing address

2813 Day Break Ave
Grand Junction, CO 81506-4888
Phone (970) 210-7083

Other identifiers 1

IdentifierTypeStateIssuer
9000143948MedicaidCO

Other names 1

  • Avila Medical Transport LLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1539043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539043200000",
    "number": "1225503907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2813 DAY BREAK AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815064888",
            "telephone_number": "970-210-7083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 DAY BREAK AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815064888",
            "telephone_number": "970-210-7083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVILA MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-09",
        "last_updated": "2018-10-09",
        "status": "A",
        "authorized_official_last_name": "ARIAS",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "970-230-7286"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000143948",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avila Medical Transport LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Grand Junction, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2018; 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.