Organization
MOUNTAIN TOP TRANSPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DORRI ANNE THYDEN (CEO)
(202) 271-1434
Entity
Organization
Contact information
Practice address
2003 PENROD LN, OVERGAARD, AZ 85933-1118
(855) 686-7433
(928) 535-3264
Mailing address
P.O. BOX 1118, OVERGAARD, AZ 85933-1118
(855) 686-7433
(928) 535-3264
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
L16778337
AZ
344600000X
Taxi
L16778337
AZ
Other
Enumeration date
07/06/2011
Last updated
07/06/2011
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