Northern Nm Medicaid Transportation, LLC
NPI #1972358349 in Raton, New Mexico
Provider Information
- NPI Number
- 1972358349
- Entity Type
- Organization
- Organization Name
- Northern Nm Medicaid Transportation, LLC
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- Apr 19, 2024
- Last Updated
- Mar 14, 2025
Practice Location
- Address
- 1125 WHITTIER ST
- City
- Raton
- State
- New Mexico
- ZIP Code
- 87740-2340
- Phone
- (575) 447-1090
Authorized Official
- Name
- JOHN D GALLEGOS
- Title
- OWNER
- Phone
- (575) 447-1090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Non-emergency Medical Transport (VAN) |
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