Active NPI
Elite Van Transportationllc
- Non-emergency Medical Transport (VAN)
- Clayton, WA
National Provider Identifier
1356807325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.