Organization
SHUTTLE RUIDOSO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID R CASON II (PRESIDENT/CEO)
(575) 973-4079
Entity
Organization
Contact information
Practice address
1096 MECHEM DR, STE 312, RUIDOSO, NM 88345
(575) 257-1815
(575) 257-1816
Mailing address
1096 MECHEM DR, STE 312, RUIDOSO, NM 88345
(575) 257-1815
(575) 257-1816
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
NMPRC 54678
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57550328
—
NM
Enumeration date
06/10/2013
Last updated
06/25/2024
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