Organization Active NPI

Horizon Medical Transport

  • Non-emergency Medical Transport (VAN)
  • Lacey, WA
National Provider Identifier
1861627630
Registry record updated May 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
602 567 380 Issued in WA
Legal business name
HORIZON MEDICAL TRANSPORT
Practice address
5707 Lacey Blvd SE
Suite # 108
Lacey, WA 98503-7228
Phone
(360) 491-6983
NPI assigned
May 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2009

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

Authorized official

Name
Mr. Abubkkar Dirar
Title
Manager
Phone
(360) 491-6983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 602 567 380 WA Primary

Addresses

Primary practice location

5707 Lacey Blvd SE
Suite # 108
Lacey, WA 98503-7228

Mailing address

5707 Lacey Blvd SE
Suite # 108
Lacey, WA 98503-7228
Phone (360) 491-6983

National Provider Directory

National Provider Directory

Locations

5707 Lacey Blvd SE
Ste 108
Lacey, WA 98503
Phone (360) 491-6983

NPI Registry JSON

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

{
    "created_epoch": "1242950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1861627630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707 LACEY BLVD SE",
            "address_2": "SUITE # 108",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985037228",
            "telephone_number": "360-491-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5707 LACEY BLVD SE",
            "address_2": "SUITE # 108",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985037228",
            "telephone_number": "360-491-6983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORIZON MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-22",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "DIRAR",
        "authorized_official_first_name": "ABUBKKAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "360-491-6983",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WA",
            "license": "602 567 380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.