Active NPI
Desert Health Transport Inc.
- Non-emergency Medical Transport (VAN)
- Lake Havasu City, AZ
National Provider Identifier
1629518311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- DESERT HEALTH TRANSPORT INC.
- Practice address
- 2750 Hidden Valley Dr
Lake Havasu City, AZ 86404-3993 - Phone
- (928) 215-6684
- Fax
- (928) 733-1982
- NPI assigned
- Mar 1, 2017
- 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
- Michelle Lee Polchow
- Title
- President
- Phone
- (507) 479-0926
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
2750 Hidden Valley Dr
Lake Havasu City, AZ 86404-3993
Mailing address
2750 Hidden Valley Dr
Lake Havasu City, AZ 86404
Phone (928) 215-6684
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488326400000",
"number": "1629518311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 HIDDEN VALLEY DR",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "86404",
"telephone_number": "928-215-6684",
"fax_number": "928-733-1982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 HIDDEN VALLEY DR",
"city": "LAKE HAVASU CITY",
"state": "AZ",
"postal_code": "864043993",
"telephone_number": "928-215-6684",
"fax_number": "928-733-1982"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESERT HEALTH TRANSPORT INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-01",
"last_updated": "2017-03-01",
"status": "A",
"authorized_official_last_name": "POLCHOW",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "507-479-0926"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Havasu City, AZ
- Rachelle Renee Davidhizar, MSW
- Greg C. Davis, D.C.
- Michele L Davis, MSW
- Kyle Denman, PAC
- Dental Specialists of NW Arizona
- Desert Hills Fire District
- Desert Medical Staffing, LLC
- Desert Mountain Orthopaedics & Sports Medicine LLC
- Desirae Dental Services, PLLC (Exceptional Dentistry)
- William Francis Devine, PMHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.