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904 WEST MAIN LLC
NPI 1003517228
Non-emergency Medical Transport (VAN) in Farmington, NM

Active since March 14, 2023
130 AIRPORT DR STE B, FARMINGTON, NM 87401(505) 793-6750 Get Directions Write a Review

NPPES record last updated: September 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 2, 2024, Mar 14, 2023 (2 updates tracked since 2023).

About 904 West Main Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

904 WEST MAIN LLC (NPI 1003517228), doing business as Direct Medical Transport, is a healthcare organization registered as a non-emergency medical transport (van) in Farmington, New Mexico and active in the NPI registry since March 2023. The organization lists Kurt Cook, Owner, as its authorized official.

NPPES Registry Identity

NPI1003517228
Entity TypeOrganization
Primary Taxonomy343900000X
Legal Business Name904 WEST MAIN LLC
Location Address130 AIRPORT DR STE BFarmington, NM 87401-5520
Mailing Address130 Airport Dr Ste BFarmington, NM 87401-5520 · (505) 793-6750
Phone(505) 793-6750
Organization SubpartNo
Authorized OfficialKurt CookOwner · (505) 793-6750
Enumeration DateMarch 14, 2023
Last NPPES UpdateSeptember 2, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2024
✔ NPI 1003517228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-emergency Medical Transport (VAN)Transportation Services
Taxonomy Code343900000X
Definition
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.
130 AIRPORT DR STE B, Farmington, NM 87401
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Other Names 1

Doing Business AsDirect Medical Transport

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 904 West Main LLC's NPI number?

The NPI number for 904 West Main LLC is 1003517228. It was assigned to this organization in the NPPES registry on March 14, 2023. The provider is doing business as Direct Medical Transport.

Where is 904 West Main LLC located?

904 West Main LLC is located at 130 Airport Dr Ste B, Farmington, NM 87401. The listed phone number is (505) 793-6750.

What is 904 West Main LLC's specialty?

The primary specialty registered for this NPI is Non-emergency Medical Transport (VAN) with taxonomy code 343900000X.

When was this NPI record last updated?

The NPPES record for 904 West Main LLC was last updated on September 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.