Organization · Type 2 NPI

Wagon Trail Professional Transport LLC

Non-emergency Medical Transport (VAN) · Fort Defiance, AZ

NPI number 1124455357 Active

Practice location

24 Slick Rock Dr
Fort Defiance, AZ 86504

Call (928) 729-2944 Map

Fax (928) 729-2400

Mailing address

PO Box 3561
Fort Defiance, AZ 86504

Specialties and licenses

Taxonomy	Code	License
Non-emergency Medical Transport (VAN) Primary	343900000X	L-1781666-8 (AZ)

Non-emergency Medical Transport (VAN): A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

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About NPI 1124455357

Wagon Trail Professional Transport LLC's National Provider Identifier is 1124455357, issued on Oct 2, 2013. The primary taxonomy on file is Non-emergency Medical Transport (VAN) (343900000X), and the practice location is in Fort Defiance, AZ. The record was last updated on Oct 2, 2013.