Organization Active NPI

Rio Medical Transport, LLC

  • Non-emergency Medical Transport (VAN)
  • Santa Clara, NM
National Provider Identifier
1245688647
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
RIO MEDICAL TRANSPORT, LLC
Practice address
405 Manhattan Park Dr
Santa Clara, NM 88026
Phone
(520) 260-6818
NPI assigned
May 26, 2016
Last updated
May 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Authorized official

Name
Lynn D Gunwall
Title
General Manager
Phone
(520) 260-6818

Specialties & licenses 1

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

Addresses

Primary practice location

405 Manhattan Park Dr
Santa Clara, NM 88026

Mailing address

P O Box 421
Santa Clara, NM 88026
Phone (520) 260-6818

Other identifiers 1

IdentifierTypeStateIssuer
50306707MedicaidNM

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1245688647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 421",
            "city": "SANTA CLARA",
            "state": "NM",
            "postal_code": "88026",
            "telephone_number": "520-260-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MANHATTAN PARK DR",
            "city": "SANTA CLARA",
            "state": "NM",
            "postal_code": "88026",
            "telephone_number": "520-260-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIO MEDICAL TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "GUNWALL",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "520-260-6818"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50306707",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Clara, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; 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.