Healthcare Provider Details

I. General information

NPI: 1083598759
Provider Name (Legal Business Name): NM MEDICAL TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2025
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 SAINT MICHAELS DR STE 1117B4
SANTA FE NM
87505-7601
US

IV. Provider business mailing address

3645 W OQUENDO RD STE 400
LAS VEGAS NV
89118-3145
US

V. Phone/Fax

Practice location:
  • Phone: 702-285-4591
  • Fax:
Mailing address:
  • Phone: 702-285-4591
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: IOAN EMILIAN BEJGU
Title or Position: CEO
Credential:
Phone: 702-285-4591