Blue Sky Logistics Inc

Primary specialty

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

License

55850 Issued in NM

Legal business name

BLUE SKY LOGISTICS INC

Doing business as

MedConnect

Practice address

1605 N Garden Ave
Roswell, NM 88201-7534

Phone

(575) 208-0676

Fax

(575) 625-1973

NPI assigned

Jul 9, 2018

Last updated

Jul 9, 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

Mr. Camron Lee Adams

Title

President

Phone

(575) 208-2725

Specialties & licenses 2

Addresses

Other names 1

• MedConnect Doing business as

Locations

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1265928790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882020099",
            "telephone_number": "575-208-0676",
            "fax_number": "575-625-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 N GARDEN AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882017534",
            "telephone_number": "575-208-0676",
            "fax_number": "575-625-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY LOGISTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "CAMRON",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "575-208-2725",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NM",
            "license": "55850",
            "primary": true
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": "NM",
            "license": "54998",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedConnect",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sonia Bolanos
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• Veronica Bonilla
• James A Boss, M.D.
• Christin Ann Boswell, DPT

• Non-emergency Medical Transport (VAN) in Roswell, NM
• Providers in Roswell, 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 Jul 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.