Organization Active NPI

Access Healthcare Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Monett, MO
National Provider Identifier
1104634450
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
ACCESS HEALTHCARE TRANSPORTATION LLC
Practice address
16 N Port Dr
Monett, MO 65708-7507
Phone
(417) 489-7672
NPI assigned
Dec 19, 2024
Last updated
Dec 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Kedric Brink
Title
Owner
Phone
(417) 489-7672

Specialties & licenses 1

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

Addresses

Primary practice location

16 N Port Dr
Monett, MO 65708-7507

Mailing address

16 N Port Dr
Monett, MO 65708-7507
Phone (417) 489-7672

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1734566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1104634450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 N PORT DR",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657087507",
            "telephone_number": "417-489-7672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 N PORT DR",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657087507",
            "telephone_number": "417-489-7672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS HEALTHCARE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-19",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "BRINK",
        "authorized_official_first_name": "KEDRIC",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-489-7672"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monett, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.