Safeway Medical Transport

Primary specialty

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

Legal business name

SAFEWAY MEDICAL TRANSPORT

Practice address

24 Barring PL
Palm Coast, FL 32137-8828

Phone

(386) 864-3981

NPI assigned

May 3, 2021

Organization subpart

No

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

Authorized official

Name

Dillan WallsNPI 1326620402

Title

Owner

Phone

(386) 624-1641

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dillan Walls

  • Non-emergency Medical Transport (VAN)
  • Palm Coast, FL
  • NPI 1326620402
  NPD Authorized official

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1144803552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 BARRING PL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378828",
            "telephone_number": "386-864-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 BARRING PL",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378828",
            "telephone_number": "386-864-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFEWAY MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "DILLAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-624-1641"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "safewaytransportnemt@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "safewaymedicaltransport.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "24 Barring Pl",
            "city": "Palm Coast",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321378828",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Palm Coast, FL
• Providers in Palm Coast, FL by specialty
• Non-emergency Medical Transport (VAN) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.