Healthcare Provider Details

I. General information

NPI: 1831909514
Provider Name (Legal Business Name): BEEP-BEEP EXPRESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/13/2025
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1006 BELLAMAH AVE NW
ALBUQUERQUE NM
87104-2152
US

IV. Provider business mailing address

1006 BELLAMAH AVE NW
ALBUQUERQUE NM
87104-2152
US

V. Phone/Fax

Practice location:
  • Phone: 234-566-7891
  • Fax:
Mailing address:
  • Phone: 234-566-7891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: RAYNE EUGENIA BRIRAYNEDGES
Title or Position: OWNER
Credential:
Phone: 951-867-8672