Active NPI
Horizon Medical Transport
- Non-emergency Medical Transport (VAN)
- Lacey, WA
National Provider Identifier
1861627630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 602 567 380
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.