Organization
ELITE MEDICAL TRANSPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEEANN PHILLIPS (CHIEF ADMINISTRATIVE OFFICER)
(915) 542-1194
Entity
Organization
Contact information
Practice address
1700 S SILVER AVE, DEMING, NM 88030-5927
(575) 544-4241
(915) 542-0706
Mailing address
PO BOX 929, SANTA TERESA, NM 88008-0929
(915) 542-1194
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
—
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3493298
—
TX
05
—
75686732
—
NM
Enumeration date
12/12/2006
Last updated
02/24/2025
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