Provider Demographics
NPI:1538594817
Name:MILE POST 34 TRANSPORT
Entity type:Organization
Organization Name:MILE POST 34 TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:BEGAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-686-3752
Mailing Address - Street 1:PO BOX 2181
Mailing Address - Street 2:
Mailing Address - City:FORT DEFIANCE
Mailing Address - State:AZ
Mailing Address - Zip Code:86504-2181
Mailing Address - Country:US
Mailing Address - Phone:928-729-5260
Mailing Address - Fax:
Practice Address - Street 1:N. NAVAJO RTE 12 MP 34
Practice Address - Street 2:
Practice Address - City:FORT DEFIANCE
Practice Address - State:AZ
Practice Address - Zip Code:86504
Practice Address - Country:US
Practice Address - Phone:928-729-5260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-05
Last Update Date:2013-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)