Active NPI
Elite Medical Transport Service LLC
- Non-emergency Medical Transport (VAN)
- Mohave Valley, AZ
National Provider Identifier
1639623580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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 DirectoryLocations
9250 S Ranchero Ln
Mohave Valley, AZ 86440
Phone (855) 978-2221
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
NPPES NPI RegistryPrimary 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.