Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

904 West Main LLC

Organization Non-emergency Medical Transport (VAN) · NPI 1003517228

904 West Main LLC is a Non-emergency Medical Transport (VAN) in Farmington, New Mexico. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

130 Airport Dr Ste B
Farmington, NM 87401-5520
Phone: (505) 793-6750
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-emergency Medical Transport (VAN) (primary) Taxonomy 343900000X

Record details

NPI number1003517228
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kurt Cook — Owner · (505) 793-6750
Other names Direct Medical Transport
NPI enumeratedMarch 14, 2023
Last updated in NPPESSeptember 2, 2024
Certification dateSeptember 2, 2024
Mailing address130 Airport Dr Ste B, Farmington, NM 87401-5520

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