904 West Main LLC
NPI 1003517228 · Non-emergency Medical Transport (VAN) · Farmington, NM
Enrolled with Medicare as Part B Supplier - Ambulance Service Supplier · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1003517228
- Entity type
- Organization
- Primary specialty
- Non-emergency Medical Transport (VAN)Transportation Services
- Organization subpart
- No
- Authorized official
- Kurt Cook, Owner(505) 793-6750
Specialties & taxonomies
Transportation Services
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Direct Medical Transport
Registry dates
- Enumerated
- 2023-03-14
- Last updated
- 2024-09-02
- Certified
- 2024-09-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.