Provider Demographics
NPI:1992522205
Name:HOZHO MEDTRANS LLC
Entity type:Organization
Organization Name:HOZHO MEDTRANS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARABELLA
Authorized Official - Middle Name:J
Authorized Official - Last Name:WOODY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-979-0232
Mailing Address - Street 1:213 W MESA AVE
Mailing Address - Street 2:
Mailing Address - City:GALLUP
Mailing Address - State:NM
Mailing Address - Zip Code:87301-6335
Mailing Address - Country:US
Mailing Address - Phone:505-979-0232
Mailing Address - Fax:
Practice Address - Street 1:213 W MESA AVE
Practice Address - Street 2:
Practice Address - City:GALLUP
Practice Address - State:NM
Practice Address - Zip Code:87301-6335
Practice Address - Country:US
Practice Address - Phone:505-979-0232
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)