NPIMap

Organization Active NPI

Medtransport-512 LLC

  • Non-emergency Medical Transport (VAN)
  • Council Bluffs, IA
National Provider Identifier
1023879871
Registry record updated Apr 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MEDTRANSPORT-512 LLC
Practice address
105 S 38TH St Apt 191
Council Bluffs, IA 51501-3385
Phone
(402) 612-3688
NPI assigned
Jan 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2024

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

Authorized official

Name
Mahmood Hussain Khan
Title
President
Phone
(402) 612-3688

Specialties & licenses 1

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

Addresses

Primary practice location

105 S 38TH St Apt 191
Council Bluffs, IA 51501-3385

Mailing address

105 S 38TH St Apt 191
Council Bluffs, IA 51501-3385
Phone (402) 612-3688

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1023879871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 S 38TH ST APT 191",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515013385",
            "telephone_number": "402-612-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 S 38TH ST APT 191",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515013385",
            "telephone_number": "402-612-3688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTRANSPORT-512 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "MAHMOOD",
        "authorized_official_middle_name": "HUSSAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-612-3688"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; 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.