Northern NM Medicaid Transportation, LLC

Primary specialty

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

Legal business name

NORTHERN NM MEDICAID TRANSPORTATION, LLC

Practice address

1125 Whittier St
Raton, NM 87740-2340

Phone

(575) 447-1090

Fax

(505) 514-0742

NPI assigned

Apr 19, 2024

Last updated

Mar 18, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Malissa S Colangelo

Title

Secretary

Phone

(575) 447-1090

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773792000000",
    "number": "1972358349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 WHITTIER ST",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877402340",
            "telephone_number": "575-447-1090",
            "fax_number": "505-514-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 WHITTIER ST",
            "city": "RATON",
            "state": "NM",
            "postal_code": "877402340",
            "telephone_number": "575-447-1090",
            "fax_number": "505-514-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN NM MEDICAID TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2026-03-18",
        "certification_date": "2026-03-18",
        "status": "A",
        "authorized_official_last_name": "COLANGELO",
        "authorized_official_first_name": "MALISSA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "575-447-1090"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Raton, NM
• Providers in Raton, NM by specialty
• Non-emergency Medical Transport (VAN) in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2026; 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.