Provider Demographics
NPI:1235002726
Name:ZION MEDICAL TRANSPORT, LLC
Entity type:Organization
Organization Name:ZION MEDICAL TRANSPORT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:STUCKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-668-9562
Mailing Address - Street 1:224 S HOUSE ROCK DR
Mailing Address - Street 2:
Mailing Address - City:CEDAR CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84720-6722
Mailing Address - Country:US
Mailing Address - Phone:435-767-1021
Mailing Address - Fax:
Practice Address - Street 1:224 S HOUSE ROCK DR
Practice Address - Street 2:
Practice Address - City:CEDAR CITY
Practice Address - State:UT
Practice Address - Zip Code:84720-6722
Practice Address - Country:US
Practice Address - Phone:435-767-1021
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)