Organization
AIR INTERFACILITY TRANSPORT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACOB G BENNETT (COO)
(575) 551-4648
Entity
Organization
Contact information
Practice address
900 SULLIVAN AVE, FARMINGTON, NM 87401-7359
(505) 588-0222
Mailing address
10 ROAD 1740, FARMINGTON, NM 87401-9616
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/15/2022
Last updated
07/15/2022
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