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WAGON TRAIL PROFESSIONAL TRANSPORT LLC
NPI 1124455357
Non-emergency Medical Transport (VAN) in Fort Defiance, AZ

Active since October 02, 2013
24 SLICK ROCK DR, FORT DEFIANCE, AZ 86504(928) 729-2944(928) 729-2400 Get Directions Write a Review

NPPES record last updated: October 2, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Wagon Trail Professional Transport Llc NPPES

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

WAGON TRAIL PROFESSIONAL TRANSPORT LLC (NPI 1124455357) is a healthcare organization registered as a non-emergency medical transport (van) in Fort Defiance, Arizona and active in the NPI registry since October 2013. The organization lists Forrest Lowley, Owner, as its authorized official.

NPPES Registry Identity

NPI1124455357
Entity TypeOrganization
Primary Taxonomy343900000X
Legal Business NameWAGON TRAIL PROFESSIONAL TRANSPORT LLC
Location Address24 SLICK ROCK DRFort Defiance, AZ 86504
Mailing AddressPo Box 3561Fort Defiance, AZ 86504 · (928) 729-2944 · Fax (928) 729-2400
Phone(928) 729-2944
Fax(928) 729-2400
Organization SubpartNo
Authorized OfficialForrest LowleyOwner · (928) 729-2944
Enumeration DateOctober 2, 2013
✔ NPI 1124455357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-emergency Medical Transport (VAN)Transportation Services
Taxonomy Code343900000X
License✔ Licensed in AZ · L-1781666-8
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.
24 SLICK ROCK DR, Fort Defiance, AZ 86504
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Other Identifiers 1

MedicaidL-1781666-8AZ

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 Wagon Trail Professional Transport LLC's NPI number?

The NPI number for Wagon Trail Professional Transport LLC is 1124455357. It was assigned to this organization in the NPPES registry on October 2, 2013.

Where is Wagon Trail Professional Transport LLC located?

Wagon Trail Professional Transport LLC is located at 24 Slick Rock Dr, Fort Defiance, AZ 86504. The listed phone number is (928) 729-2944.

What is Wagon Trail Professional Transport 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 Wagon Trail Professional Transport LLC was last updated on October 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.