Indigenous Innovations

NPI 1134465024 - Non-emergency Medical Transport (VAN) - 343900000X

NPI Details
NPI 1134465024
Enumeration Date 12/20/2012
Last Updated 01/07/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name WALTER WALTER
Position PRINCIPAL OWNER
Phone (505) 686-4903
Fax
Practice Location
913 W APACHE ST
FARMINGTON NM, 87401-3899, US
Phone (505) 686-4903
Fax
Business Location
PO BOX 2885
KIRTLAND NM, 87417-2885, US
Phone
Fax
Toxanomy
Taxonomy Code 343900000X
License State New Mexico
License Number NMPRC 56258
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According to our database, Indigenous Innovations NPI is 1134465024, taxonomy code is 343900000X and license number is NMPRC 56258, license state is located at New Mexico. Indigenous Innovations physically located at 913 W Apache St, Farmington NM, 87401-3899. NPI Number 1033115704 has the healthcare provider type.

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1134465024 NPI number is provided on an as is basis without warranty of any kind. 1134465024 is maintained by the National Plan & Provider Enumeration System. The contents of Indigenous Innovations are for informational purposes only.