Provider Demographics
NPI:1710586888
Name:DESERT MEDICAL TRANSPORT LLC
Entity Type:Organization
Organization Name:DESERT MEDICAL TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:MCELHANEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-987-6600
Mailing Address - Street 1:2476 W GOLDMINE MOUNTAIN CV
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-4757
Mailing Address - Country:US
Mailing Address - Phone:480-987-6600
Mailing Address - Fax:
Practice Address - Street 1:2476 W GOLDMINE MOUNTAIN CV
Practice Address - Street 2:
Practice Address - City:QUEEN CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85142-4757
Practice Address - Country:US
Practice Address - Phone:480-987-6600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-20
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)