Organization Active NPI

Desert Mobile Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Queen Creek, AZ
National Provider Identifier
1376844332
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
BU-0025-10 Issued in AZ
Legal business name
DESERT MOBILE TRANSPORT LLC
Practice address
2476 W Goldmine Mountain CV
Queen Creek, AZ 85142-4757
Phone
(480) 987-6600
NPI assigned
Nov 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Authorized official

Name
Scott McElhaney, AZ AHCCCS #586611
Title
Owner/Managing Director
Phone
(480) 987-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X BU-0025-10 AZ Primary

Addresses

Primary practice location

2476 W Goldmine Mountain CV
Queen Creek, AZ 85142-4757

Mailing address

PO Box 133
Queen Creek, AZ 85142-1802
Phone (480) 987-6600

Other names 1

  • Desert Mobile Transport Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1376844332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 133",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851421802",
            "telephone_number": "480-987-6600",
            "fax_number": "480-926-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2476 W GOLDMINE MOUNTAIN CV",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851424757",
            "telephone_number": "480-987-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT MOBILE TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-08",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "MCELHANEY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER/MANAGING DIRECTOR",
        "authorized_official_telephone_number": "480-987-6600",
        "authorized_official_credential": "AZ AHCCCS #586611"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "BU-0025-10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Mobile Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Queen Creek, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.