Dineh Transport LLC
Organization Active NPI Private Vehicle · Blue Gap, AZ
NPI 1760742902 · NPPES record last updated May 22, 2012
Key facts
- NPI
- 1760742902
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Private Vehicle 347C00000X
- License
- L14588250 (AZ)
- Legal business name
- DINEH TRANSPORT LLC
- Practice address
- North of Navajo Route 673
Blue Gap, AZ 86520-4253 - Phone
- (928) 725-3960
- Fax
- (928) 725-2056
- NPI assigned
- May 22, 2012
- Organization subpart
- No
Authorized official
- Name
- Mr. Kenneth Wartz
- Title
- Owner
- Phone
- (928) 725-3960
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | L14588250 | AZ | Yes |
Addresses
Primary practice location
North of Navajo Route 673
Blue Gap, AZ 86520-4253
Mailing address
PO Box 4253
Blue Gap, AZ 86520-4253
Phone (928) 725-3960
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 351068 | Medicaid | AZ |
Other names
- Smoke Signal Transport
Other providers in Blue Gap, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.