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NPI Code Detail

MEDICARE: AO MEDICAL TRANSPORT

MEDICARE: AO MEDICAL TRANSPORT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1134937444
Entity Type Code : Organization
Provider Name (Legal Business Name) : AO MEDICAL TRANSPORT
Provider Business Mailing Address
First Line : 1209 MOUNTAIN ROAD PL NE # 5543
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87110-7845
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4997 ELLORA VISTA DR
Second Line :
City : LAS CRUCES
State : NM
Zip : 88012-7455
Country : US
Telephone Number : 575-240-7541
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF OPERATIONS
Name : JE ANN ADE-OSHIFOGUN
Credential :
Telephone Number : 561-603-2329
Provider Enumeration Date : 12/19/2024
Last Update Date : 12/11/2025

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