Organization
SACRED MOUNTAIN TRANSPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANNY BARNEY (CEO)
(928) 283-8243
Entity
Organization
Contact information
Practice address
100 MOENAVE ROAD, SPACE 39, TUBA CITY, AZ 86045
(928) 283-8243
(928) 283-8296
Mailing address
PO BOX 2290, TUBA CITY, AZ 86045-2290
(928) 283-8243
(928) 283-8296
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
179680
—
AZ
Enumeration date
06/02/2008
Last updated
06/02/2008
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