Healthcare Provider Details

I. General information

NPI: 1639800766
Provider Name (Legal Business Name): ROCKY MOUNTAIN MEDICAL TRANSPORTATION COMPANY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2022
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1288 W 2240 S STE C
WEST VALLEY UT
84119-7238
US

IV. Provider business mailing address

1288 W 2240 S STE C
WEST VALLEY UT
84119-7238
US

V. Phone/Fax

Practice location:
  • Phone: 801-471-1902
  • Fax:
Mailing address:
  • Phone: 801-471-1902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: TANGINA R MALOOF
Title or Position: TREASURER
Credential:
Phone: 469-636-5055