Organization
TABAAHA TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIMONE RENEE SMITH (OWNER)
(928) 551-1463
Entity
Organization
Contact information
Practice address
101 PINE HILL BLVD, RIO PUERCO HSE, FORT DEFIANCE, AZ 86504
(928) 551-1463
Mailing address
PO BOX 644, FORT DEFIANCE, AZ 86504-0644
(928) 551-1463
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up