Sacred Mountain Medical Service

LBN: Sacred Mountain Medical Service
Sacred Mountain Medical Service is an health care organization with primary practice located at 100 Moenave Road #39, 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 Service can be contacted via phone (928) 283-8243, or through Barney, Danny via phone (928) 283-8243.

Contact Information

Primary practice address
100 Moenave Road #39 Tuba City AZ 86045
Phone: (928) 283-8243
Fax: (928) 283-8237
Website:
Map and Directions
Authorized official contact:
Name: Barney, Danny
Phone: (928) 283-8243

Health care specialties

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

Profile Details

NPI number 1871739755
LBN Legal business name Sacred Mountain Medical Service
DBA Doing business as
Authorized official Barney, Danny
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2008
Last updated Dec 26th, 2008 - about 18 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 1871739755 NPPES
New Mexico MEDICAID 40953866
New Mexico MEDICAID XMTEO6557
New Mexico MEDICAID 717077
New Mexico Other AZ0152480
New Mexico MEDICAID 02876271
New Mexico MEDICAID 830384848001

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