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Organization

WHITE MOUNTAIN TRANSPORT INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. TRISHA LAPAZ (ADMINISTRATOR)
(505) 879-5599
Entity
Organization

Contact information

Practice address
3316 E HIGHWAY 66, GALLUP, NM 87301-4651
(505) 879-5599
Mailing address
109 NAICHE DR., MESCALERO, NM 88340
(505) 879-5599
(505) 722-9097

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
5115019
NM
343900000X
Non-emergency Medical Transport (VAN)
Primary
5115019
NM

Other

Enumeration date
09/28/2015
Last updated
09/28/2015
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