Organization
ELITE MEDICAL TRANSPORT SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY JOHNSON (MANAGING PARTNER)
(855) 978-2221
Entity
Organization
Contact information
Practice address
9250 S RANCHERO LN, MOHAVE VALLEY, AZ 86440-8506
(855) 978-2221
Mailing address
9250 S RANCHERO LN, MOHAVE VALLEY, AZ 86440-8506
(855) 978-2221
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/09/2016
Last updated
08/09/2016
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