Sacred Mountain Medical Services Inc

LBN: Sacred Mountain Medical Services Inc
Sacred Mountain Medical Services Inc is an health care organization with primary practice located at Np-39 Moenave Rd/Lolma St , Tuba City AZ 86045. The organization recently has only one registered license in Transportation Services / Land Transport, which is considered as the primary health care specialty. Sacred Mountain Medical Services Inc can be contacted via phone (928) 283-8243, or through Barney, Danny via phone (928) 283-8243.

Contact Information

Primary practice address
Np-39 Moenave Rd/Lolma St Tuba City AZ 86045
Fax: (928) 283-8237
Website:
Authorized official contact:
Name: Barney, Danny

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Land Transport 3416L0300X 127 Arizona

Profile Details

NPI number 1447288436
LBN Legal business name Sacred Mountain Medical Services Inc
DBA Doing business as
Authorized official Barney, Danny
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2006
Last updated Dec 22nd, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447288436 NPPES
New Mexico MEDICAID 40953866
New Mexico MEDICAID XMTE06557
New Mexico MEDICAID 717077
New Mexico MEDICAID 02876271
New Mexico Other AZ0152480

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