=====================================================
General NPI Number Information
=====================================================
NPI Number | 1770404022
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALTURA GLOBAL LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/23/2026
-----------------------------------------------------
Last Update Date | 07/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5164 W BLASER LN # 5164
-----------------------------------------------------
City | BOISE
-----------------------------------------------------
State | ID
-----------------------------------------------------
Zip | 83705-1970
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 986-999-3665
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 623 EMERALD
-----------------------------------------------------
City | RUPERT
-----------------------------------------------------
State | ID
-----------------------------------------------------
Zip | 83350-5078
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 986-999-3665
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEDICAL INTERPRETER
-----------------------------------------------------
Name | EDUARDO FRANCISCO RODRIGUEZ
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 986-999-3665
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------