Healthcare Provider Details
I. General information
NPI: 1144176652
Provider Name (Legal Business Name): ROUTE 44 MEDICAL TRANSPORT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/06/2026
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4402 SUPERSTITION DR
LAS CRUCES NM
88011-7503
US
IV. Provider business mailing address
4402 SUPERSTITION DR
LAS CRUCES NM
88011-7503
US
V. Phone/Fax
- Phone: 575-621-3390
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMY
LOPEZ
Title or Position: OWNER
Credential: CNP
Phone: 575-621-3390