Sacred Mountain Transport Inc

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

SACRED MOUNTAIN TRANSPORT INC

Practice address

100 Moenave Road
Space 39
Tuba City, AZ 86045

Phone

(928) 283-8243

Fax

(928) 283-8296

NPI assigned

Jun 2, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Danny Barney

Title

Ceo

Phone

(928) 283-8243

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1851559249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2290",
            "city": "TUBA CITY",
            "state": "AZ",
            "postal_code": "860452290",
            "telephone_number": "928-283-8243",
            "fax_number": "928-283-8296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MOENAVE ROAD",
            "address_2": "SPACE 39",
            "city": "TUBA CITY",
            "state": "AZ",
            "postal_code": "86045",
            "telephone_number": "928-283-8243",
            "fax_number": "928-283-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED MOUNTAIN TRANSPORT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "BARNEY",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "928-283-8243"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "179680",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Theodora Rudd, RDN
• Samantha Maxine Russ, RN
• Sacred Circles of Healing and Wellness LLC
• Sacred Mountain Medical Service
• Sacred Mountain Medical Services Inc
• Cheryl Lynn Saganitso, M.A., CCC-SLP
• Kristin Elizabeth Salamon, D.D.S.
• Marizela Samaniego
• Taylor Samse, DDS
• Maria E Sanchez, RDMS

• Non-emergency Medical Transport (VAN) in Tuba City, AZ
• Providers in Tuba City, AZ by specialty
• Non-emergency Medical Transport (VAN) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2008; 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.