Medi-Ship Transportation Inc

Primary specialty

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

Legal business name

MEDI-SHIP TRANSPORTATION INC

Practice address

15341 4TH Ave
Phoenix, IL 60426-2620

Phone

(312) 672-1198

Fax

(877) 353-4690

NPI assigned

Oct 22, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Samuel Mack

Title

Owner

Phone

(312) 672-1198

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1053664433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15341 4TH AVE",
            "city": "PHOENIX",
            "state": "IL",
            "postal_code": "604262620",
            "telephone_number": "312-672-1198",
            "fax_number": "877-353-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15341 4TH AVE",
            "city": "PHOENIX",
            "state": "IL",
            "postal_code": "604262620",
            "telephone_number": "312-672-1198",
            "fax_number": "877-353-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-SHIP TRANSPORTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-672-1198",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anita Amanda Bloomingburg, CNA
• Cook County
• Pedro Carlos A Cruz, M.D.
• Amandia Beatrice Davis
• Annie Jackson
• Recovery Bound
• Colleen Katy Rogers, MSP, MPA
• Justine Antoinette Walker, FNP
• Kori Williams

• Non-emergency Medical Transport (VAN) in Phoenix, IL
• Providers in Phoenix, IL by specialty
• Non-emergency Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.