NPIMap

Organization Active NPI

Med-Trans Corporation

  • Air Ambulance
  • McKenzie, TN
National Provider Identifier
1013688829
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
Legal business name
MED-TRANS CORPORATION
Practice address
456 Airport LN
MC Kenzie, TN 38201-8619
Phone
(877) 288-5340
NPI assigned
Sep 22, 2021
Last updated
Dec 5, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MED-TRANS CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Eric James Thomas
Title
SVP Revenue Management
Phone
(888) 807-9189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X NU Primary

Addresses

Primary practice location

456 Airport LN
MC Kenzie, TN 38201-8619

Mailing address

PO Box 708
West Plains, MO 65775-0708

Other names 1

  • Hospital Wing Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070824000217 TN Part B Supplier - Ambulance Service Supplier 8921904145 15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Rockwood, TN; Winchester, TN; Sweetwater, TN; Sparta, TN; Sevierville, TN; Nashville, TN; Memphis, TN; MC Kenzie, TN…

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

National Provider Directory

National Provider Directory
Tax ID family
Med-Trans Corporation Wings117 organizations share this tax ID, including this one
Part of
Med-Trans Corporation Wings

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

456 Airport Ln
Mc Kenzie, TN 38201
Phone (662) 209-7356

2282 Airport Rd
#4
Selmer, TN 38375
Phone 9015225321103

NPI Registry JSON

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1013688829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 708",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657750708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 AIRPORT LN",
            "city": "MC KENZIE",
            "state": "TN",
            "postal_code": "382018619",
            "telephone_number": "877-288-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-TRANS CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MED-TRANS CORPORATION",
        "enumeration_date": "2021-09-22",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "SVP REVENUE MANAGEMENT",
        "authorized_official_telephone_number": "888-807-9189"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospital Wing",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Hospital Wing",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McKenzie, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.