Organization
RIO MEDICAL TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN D GUNWALL (GENERAL MANAGER)
(520) 260-6818
Entity
Organization
Contact information
Practice address
405 MANHATTAN PARK DR, SANTA CLARA, NM 88026
(520) 260-6818
Mailing address
P O BOX 421, SANTA CLARA, NM 88026
(520) 260-6818
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50306707
—
NM
Enumeration date
05/26/2016
Last updated
05/26/2016
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