Organization
MEDICAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMANDA ASHLEY WARNER (OWNER)
(505) 722-3404
Entity
Organization
Contact information
Practice address
2003 BARBARA AVE, GALLUP, NM 87301-6705
(505) 722-3404
(505) 722-3404
Mailing address
2003 BARBARA AVE, GALLUP, NM 87301
(505) 722-3404
(505) 722-3404
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
03247527006
NM
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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