Active NPI
Med-Trans Corporation
- Air Ambulance
- Magee, MS
National Provider Identifier
1063993624
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Air Ambulance
- Legal business name
- MED-TRANS CORPORATION
- Practice address
- 314 1St St SE
Magee, MS 39111-3612 - Phone
- (877) 288-5340
- NPI assigned
- Aug 22, 2018
- Last updated
- Feb 25, 2019
- Organization subpart
- Yes
- Parent organization
- MED-TRANS CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Thomas
- Title
- SVP of Revenue Management
- Phone
- (877) 288-5340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | NU | Primary |
Addresses
Primary practice location
314 1St St SE
Magee, MS 39111-3612
Mailing address
PO Box 708
West Plains, MO 65775-0708
Other names 1
- Mississippi Air Rescue
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150325000487 | MS | Part B Supplier - Ambulance Service Supplier | 8921904145 |
8 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Columbus, MS; Greenwood, MS; Gulfport, MS; Hattiesburg, MS; Jackson, MS; McComb, MS; Meridian, MS; Oxford, MS |
Other NPIs on the same Medicare enrollment 8
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Med-Trans Corporation Wings
Locations
314 1st St SE
Magee, MS 39111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534896000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1551052800000",
"number": "1063993624",
"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": "314 1ST ST SE",
"city": "MAGEE",
"state": "MS",
"postal_code": "391113612",
"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": "2018-08-22",
"last_updated": "2019-02-25",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "SVP OF REVENUE MANAGEMENT",
"authorized_official_telephone_number": "877-288-5340"
},
"taxonomies": [
{
"code": "3416A0800X",
"taxonomy_group": "",
"desc": "Ambulance, Air Transport",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mississippi Air Rescue",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Magee, MS
- Donna Elizabeth Martin, P.T.
- Maxem Health Urgent Care Magee (Magee Urgent Care)
- Angela B. McCallum, FNP
- Darian McCord, DPT
- Brianna McCue, NP
- Medcenter Discount Pharmacy Inc (Medcenter Pharmacy)
- James Medders III, RPH
- Medhome Specialty Services, LLC
- Medicomp, Inc (Mdicomp Physical Therapy Flowood)
- Medicomp, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.