Medicab LLC

Primary specialty

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

License

03247527006 Issued in NM

Legal business name

MEDICAB LLC

Practice address

2003 Barbara Ave
Gallup, NM 87301-6705

Phone

(505) 722-3404

Fax

(505) 722-3404

NPI assigned

Jul 17, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Amanda Ashley Warner

Title

Owner

Phone

(505) 722-3404

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1342483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342483200000",
    "number": "1275888067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 BARBARA AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "87301",
            "telephone_number": "505-722-3404",
            "fax_number": "505-722-3404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 BARBARA AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873016705",
            "telephone_number": "505-722-3404",
            "fax_number": "505-722-3404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-17",
        "last_updated": "2012-07-17",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-722-3404",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NM",
            "license": "03247527006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Edward McPadden
• Lisa Andrea McRae, RN
• Jacqueline Meade, RN
• Kara Mealer
• Tammy Lynn Mecale, RN
• Edward Robles Medina, MD
• Tammy D Medley, RN
• Happy Megie
• Stephen Mehanni, M.D.
• Timothy Neal Meinhardt, PHARM.D

• Non-emergency Medical Transport (VAN) in Gallup, NM
• Providers in Gallup, 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 17, 2012; 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.