Organization
CHEIIS TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOREN LUKE COOKE (GENERAL MANAGER)
(505) 979-1126
Entity
Organization
Contact information
Practice address
567 F SWEETWATER RD, FORT WINGATE, NM 87316-0282
(505) 979-1126
Mailing address
567 F SWEETWATER RD, PO BOX 282, FORT WINGATE, NM 87316-0282
(505) 979-1126
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
NM
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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