Organization
PAINTED HILLS TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN DENETCHEE (OWNER)
(505) 598-3027
Entity
Organization
Contact information
Practice address
1 ROAD 6897, WATERFLOW, NM 87421
(505) 598-3027
(505) 598-3027
Mailing address
PO BOX 745, WATERFLOW, NM 87421-0745
(505) 598-3027
(505) 598-3027
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
NM
Other
Enumeration date
08/01/2017
Last updated
04/16/2018
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