Prolific Care Medical & Transport Service

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

PROLIFIC CARE MEDICAL & TRANSPORT SERVICE

Practice address

1243 Advance Dr
Florissant, MO 63031-1421

Phone

(314) 761-0030

NPI assigned

Jun 21, 2023

Organization subpart

No

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

Authorized official

Name

Jeonne Harris

Title

Exec. Director

Phone

(314) 761-0030

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1043995483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1243 ADVANCE DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630311421",
            "telephone_number": "314-761-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1243 ADVANCE DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630311421",
            "telephone_number": "314-761-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROLIFIC CARE MEDICAL & TRANSPORT SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "JEONNE",
        "authorized_official_title_or_position": "EXEC. DIRECTOR",
        "authorized_official_telephone_number": "314-761-0030"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Florissant, MO
• Providers in Florissant, MO by specialty
• Non-emergency Medical Transport (VAN) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.