NPIMap

Organization Active NPI

Edgewater Freight Services, LLC

Doing business as Edgewater Medical Transportation

  • Non-emergency Medical Transport (VAN)
  • Irving, TX
National Provider Identifier
1013659440
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
EDGEWATER FREIGHT SERVICES, LLC
Doing business as
Edgewater Medical Transportation
Practice address
381 Las Colinas Blvd E Apt 4007
Irving, TX 75039-5550
Phone
(601) 941-6386
NPI assigned
Apr 7, 2022
Organization subpart
Yes
Parent organization
EDGEWATER FREIGHT SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

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

Authorized official

Name
Carla Juanita GuidryNPI 1184439168
Title
President
Phone
(601) 941-6386

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

381 Las Colinas Blvd E Apt 4007
Irving, TX 75039-5550

Mailing address

381 Las Colinas Blvd E Apt 4007
Irving, TX 75039-5550
Phone (601) 941-6386

Other names 1

  • Edgewater Medical Transportation Doing business as

National Provider Directory

National Provider Directory
Part of
Edgewater Freight Services LLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1649289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649289600000",
    "number": "1013659440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "381 LAS COLINAS BLVD E APT 4007",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750395550",
            "telephone_number": "601-941-6386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "381 LAS COLINAS BLVD E APT 4007",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750395550",
            "telephone_number": "601-941-6386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWATER FREIGHT SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDGEWATER FREIGHT SERVICES, LLC",
        "enumeration_date": "2022-04-07",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A",
        "authorized_official_last_name": "GUIDRY",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "JUANITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-941-6386"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edgewater Medical Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2022; 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.