Organization
MOUNTAIN CHARIOT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN DURAN (OWNER)
(805) 259-6609
Entity
Organization
Contact information
Practice address
8206 LOUISIANA BLVD NE STE A310, ALBUQUERQUE, NM 87113-1738
(805) 259-6609
Mailing address
8206 LOUISIANA BLVD NE STE A310, ALBUQUERQUE, NM 87113-1738
(805) 259-6609
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/11/2020
Last updated
11/27/2023
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