Sacred Sun Transport

Primary specialty

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

License

683547 Issued in AZ

Legal business name

SACRED SUN TRANSPORT

Practice address

1/4 Mile N. Denny'S on Old Town Story Rd.
St. Michaels, AZ 86511

Phone

(928) 810-2204

NPI assigned

Jul 18, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Leory Nez

Title

Owner

Phone

(928) 810-2202

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1871848580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2947",
            "city": "WINDOW ROCK",
            "state": "AZ",
            "postal_code": "86515",
            "telephone_number": "928-810-2202",
            "fax_number": "928-810-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1/4 MILE N. DENNY'S ON OLD TOWN STORY RD.",
            "city": "ST. MICHAELS",
            "state": "AZ",
            "postal_code": "86511",
            "telephone_number": "928-810-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED SUN TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "NEZ",
        "authorized_official_first_name": "LEORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-810-2202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": "683547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northern Apache County Special Health Care District
• Northern Apache County Special Health Care District
• Northern Apache County Special Health Care District
• Professional Behavioral Health Services of St. Michaels
• Sacred Mountain Home Care
• Sequel Tsi of Az, LLC
• St. Michaels Association for Special Education
• Dolores Arlt Sullivan, SLP
• Terricena Ajramirez
• Traditional Home Care

• Non-emergency Medical Transport (VAN) in St. Michaels, AZ
• Providers in St. Michaels, 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 Jul 18, 2012; 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.