Organization Active NPI

K&P Medical Transport LTD.

  • Land Ambulance
  • Defiance, OH
National Provider Identifier
1104369206
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
K&P MEDICAL TRANSPORT LTD.
Practice address
25288 Elliott Rd
Defiance, OH 43512-9003
Phone
(419) 785-3246
Fax
(419) 782-6478
NPI assigned
Nov 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Authorized official

Name
Mr. Adam Robert Wagner
Title
Vice President
Phone
(419) 785-3246

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X Primary
Non-emergency Medical Transport (VAN) 343900000X

Addresses

Primary practice location

25288 Elliott Rd
Defiance, OH 43512-9003

Mailing address

25288 Elliott Rd
Defiance, OH 43512-9003
Phone (419) 785-3246

Other identifiers 1

IdentifierTypeStateIssuer
0385682MedicaidOH

National Provider Directory

National Provider Directory

Locations

24862 Elliott Rd
Defiance, OH 43512

NPI Registry JSON

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729555200000",
    "number": "1104369206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25288 ELLIOTT RD",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435129003",
            "telephone_number": "419-785-3246",
            "fax_number": "419-782-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25288 ELLIOTT RD",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435129003",
            "telephone_number": "419-785-3246",
            "fax_number": "419-782-6478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K&P MEDICAL TRANSPORT LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "419-785-3246",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0385682",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Defiance, OH

Sources for this page

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