Redtail Transport
Non-emergency Medical Transport (VAN) in Fort Defiance, AZ. Organization (NPI-2).
NPI number1801211552
StatusActive
Last updated in NPPESMar 4, 2014
Details
- NPI
- 1801211552
- Entity type
- Organization (NPI-2)
- Legal business name
- Redtail Transport
- Organization subpart
- No
- Enumeration date
- Mar 4, 2014
- Last updated
- Mar 4, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | 02388827 | AZ | Yes |
Practice location
Navajo Rt 12 Mm29Fort Defiance, AZ 86504
Phone 505-713-7417
Mailing address
Navajo Rt 12 Mm29Fort Defiance, AZ 86504
Phone 505-713-7417
Authorized official
Donovan Begaye
Owner
5057137417
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