Organization Active NPI

Elite Van Transportationllc

  • Non-emergency Medical Transport (VAN)
  • Clayton, WA
National Provider Identifier
1356807325
Registry record updated Feb 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
ELITE VAN TRANSPORTATIONLLC
Practice address
4531 Bellstar Rd
Clayton, WA 99110-9744
Phone
(509) 710-7967
Fax
(509) 242-3298
NPI assigned
Feb 14, 2019
Last updated
Feb 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2019

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

Authorized official

Name
Roberta Lynn Talbot
Title
Owner
Phone
(509) 939-1414

Specialties & licenses 1

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

Addresses

Primary practice location

4531 Bellstar Rd
Clayton, WA 99110-9744

Mailing address

4531 Bellstar Rd
Clayton, WA 99110-9744
Phone (509) 710-7967

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1550102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550102400000",
    "number": "1356807325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4531 BELLSTAR RD",
            "city": "CLAYTON",
            "state": "WA",
            "postal_code": "991109744",
            "telephone_number": "509-710-7967",
            "fax_number": "509-242-3298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 BELLSTAR RD",
            "city": "CLAYTON",
            "state": "WA",
            "postal_code": "991109744",
            "telephone_number": "509-710-7967",
            "fax_number": "509-242-3298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE VAN TRANSPORTATIONLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-14",
        "last_updated": "2019-02-14",
        "status": "A",
        "authorized_official_last_name": "TALBOT",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-939-1414"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2019; 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.