Organization
NORTHERN NM MEDICAID TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALISSA S COLANGELO (SECRETARY)
(575) 447-1090
Entity
Organization
Contact information
Practice address
1125 WHITTIER ST, RATON, NM 87740-2340
(575) 447-1090
(505) 514-0742
Mailing address
1125 WHITTIER ST, RATON, NM 87740-2340
(575) 447-1090
(505) 514-0742
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/19/2024
Last updated
03/18/2026
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