Zoom Medicaid Transportation LLC

Primary specialty

Transportation Network CompanyTaxonomy code 342000000X

Legal business name

ZOOM MEDICAID TRANSPORTATION LLC

Practice address

9533 County Road 67.5
Trinidad, CO 81082-9725

Phone

(719) 859-3576

NPI assigned

Nov 13, 2023

Organization subpart

No

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

Authorized official

Name

Amanda Maldonado

Title

Owner/Operator

Phone

(719) 859-3576

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1699833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1902670706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9533 COUNTY ROAD 67.5",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810829725",
            "telephone_number": "719-859-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9533 COUNTY ROAD 67.5",
            "city": "TRINIDAD",
            "state": "CO",
            "postal_code": "810829725",
            "telephone_number": "719-859-3576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZOOM MEDICAID TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-13",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-12",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "719-859-3576"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Transportation Network Company in Trinidad, CO
• Providers in Trinidad, CO by specialty
• Transportation Network Company in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; 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.