Onsite Meditransport

Primary specialty

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

Legal business name

ONSITE MEDITRANSPORT

Practice address

5630 Lyons St
Morton Grove, IL 60053-1546

Phone

(708) 937-8125

Fax

(847) 674-0892

NPI assigned

Aug 13, 2013

Organization subpart

Yes

Parent organization

ONSITE HEALTH ANCILLARY SERVICES,LLCAs reported in NPPES

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

Authorized official

Name

Mr. Jaime Hurtado

Title

Administrator

Phone

(708) 715-1250

Specialties & licenses 1

Addresses

Part of

Onsite Health Ancillary Services

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1124451125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5630 LYONS ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531546",
            "telephone_number": "708-937-8125",
            "fax_number": "847-674-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5630 LYONS ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600531546",
            "telephone_number": "708-937-8125",
            "fax_number": "847-674-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONSITE MEDITRANSPORT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ONSITE HEALTH ANCILLARY SERVICES,LLC",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "HURTADO",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-715-1250",
        "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": []
}

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• Non-emergency Medical Transport (VAN) in Morton Grove, IL
• Providers in Morton Grove, 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 Aug 13, 2013; 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.