Organization Active NPI

Elite Medical Transport Service LLC

  • Non-emergency Medical Transport (VAN)
  • Mohave Valley, AZ
National Provider Identifier
1639623580
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
ELITE MEDICAL TRANSPORT SERVICE LLC
Practice address
9250 S Ranchero LN
Mohave Valley, AZ 86440-8506
Phone
(855) 978-2221
NPI assigned
Aug 9, 2016
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Whitney Johnson
Title
Managing Partner
Phone
(855) 978-2221

National Provider Directory

National Provider Directory

Locations

9250 S Ranchero Ln
Mohave Valley, AZ 86440
Phone (855) 978-2221

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

Primary practice location

9250 S Ranchero LN
Mohave Valley, AZ 86440-8506

Mailing address

9250 S Ranchero LN
Mohave Valley, AZ 86440-8506
Phone (855) 978-2221

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 9, 2016.

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470700800000",
    "number": "1639623580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 S RANCHERO LN",
            "city": "MOHAVE VALLEY",
            "state": "AZ",
            "postal_code": "864408506",
            "telephone_number": "855-978-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 S RANCHERO LN",
            "city": "MOHAVE VALLEY",
            "state": "AZ",
            "postal_code": "864408506",
            "telephone_number": "855-978-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL TRANSPORT SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "855-978-2221"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mohave Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2016; 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.