Organization Active NPI

Mountain Top Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Marion, VA
National Provider Identifier
1003452004
Registry record updated Nov 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MOUNTAIN TOP TRANSPORT LLC
Practice address
862 Goolsby St
Marion, VA 24354-1708
Phone
(276) 696-1179
NPI assigned
Nov 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Scott Wilkins
Title
Owner
Phone
(276) 696-1179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

862 Goolsby St
Marion, VA 24354-1708

Mailing address

862 Goolsby St
Marion, VA 24354-1708
Phone (276) 696-1179

Other identifiers 1

IdentifierTypeStateIssuer
0047001042MedicaidVA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Marion

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574640000000",
    "number": "1003452004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 GOOLSBY ST",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243541708",
            "telephone_number": "276-696-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "862 GOOLSBY ST",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243541708",
            "telephone_number": "276-696-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN TOP TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2019-11-25",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-696-1179"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0047001042",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Marion",
            "affiliation": "N",
            "address_1": "862 Goolsby St",
            "city": "Marion",
            "state": "VA",
            "country_code": "US",
            "postal_code": "243541708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marion, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.