Healthcare Provider Details

I. General information

NPI: 1043990732
Provider Name (Legal Business Name): NEW WORLD TRANSPORTATION NON EMERGENCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2023
Last Update Date: 07/19/2023
Certification Date: 07/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 N ASH STREET
MAGDALENA NM
87825
US

IV. Provider business mailing address

PO BOX 1582
MAGDALENA NM
87825-1582
US

V. Phone/Fax

Practice location:
  • Phone: 575-517-5120
  • Fax:
Mailing address:
  • Phone: 575-517-5120
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: JOHNNIE LEE HAMMOND
Title or Position: OWNER
Credential: N/A
Phone: 575-517-5120