Provider Demographics
NPI:1144196031
Name:DESERT HORIZON TRANSPORT LLC
Entity type:Organization
Organization Name:DESERT HORIZON TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SERGIO
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARATE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:505-870-4746
Mailing Address - Street 1:1519 S GRANDVIEW DR
Mailing Address - Street 2:
Mailing Address - City:GALLUP
Mailing Address - State:NM
Mailing Address - Zip Code:87301-5905
Mailing Address - Country:US
Mailing Address - Phone:505-236-7918
Mailing Address - Fax:
Practice Address - Street 1:1519 S GRANDVIEW DR
Practice Address - Street 2:
Practice Address - City:GALLUP
Practice Address - State:NM
Practice Address - Zip Code:87301-5905
Practice Address - Country:US
Practice Address - Phone:505-236-7918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DESERT HORIZON TRANSPORT LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-10-16
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)