Organization Active NPI

Desert Health Transport Inc.

  • Non-emergency Medical Transport (VAN)
  • Lake Havasu City, AZ
National Provider Identifier
1629518311
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
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

Updated by the provider on Mar 1, 2017

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)CodeLicenseStatePrimary
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 Directory

NPI 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

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.

Verify at the official NPI Registry.