904 West Main Llc

LBN: 904 West Main Llc
904 West Main Llc is an health care organization with primary practice located at 130 Airport Dr Ste B , Farmington NM 87401-5520. The organization recently has only one registered license in Transportation Services / Non-emergency Medical Transport (VAN), which is considered as the primary health care specialty. 904 West Main Llc can be contacted via phone (505) 793-6750, or through Cook, Kurt via phone (505) 793-6750.

Contact Information

Primary practice address
130 Airport Dr Ste B Farmington NM 87401-5520
Phone: (505) 793-6750
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cook, Kurt
Phone: (505) 793-6750

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X

Profile Details

NPI number 1003517228
LBN Legal business name 904 West Main Llc
DBA Doing business as
Authorized official Cook, Kurt
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2023
Last updated Mar 14th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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