I Groups Medical Transport LLC

Primary specialty

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

License

03-403760-00-8 Issued in NM

Legal business name

I GROUPS MEDICAL TRANSPORT LLC

Practice address

818 E Main St TRLR 25
Farmington, NM 87401-2729

Phone

(520) 339-3138

NPI assigned

Apr 14, 2018

Last updated

Apr 14, 2018By 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

Ibrahim H Ibrahim

Title

Member

Phone

(520) 339-3138

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1523664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523664000000",
    "number": "1225525363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 E BELLEVUE ST APT 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124842",
            "telephone_number": "520-339-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 E MAIN ST TRLR 25",
            "city": "FARMINGTON",
            "state": "NM",
            "postal_code": "874012729",
            "telephone_number": "520-339-3138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I GROUPS MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-14",
        "last_updated": "2018-04-14",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "520-339-3138"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NM",
            "license": "03-403760-00-8",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Craig Spencer Hutton
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• 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 Apr 14, 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.