Organization Active NPI

Med-Trans Corporation

  • Air Ambulance
  • Anderson, SC
National Provider Identifier
1154505667
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
Legal business name
MED-TRANS CORPORATION
Practice address
600 N Fant St
Anderson, SC 29621-5704
Phone
(877) 288-5340
NPI assigned
Dec 19, 2007
Last updated
Jan 7, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
MED-TRANS CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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)CodeLicenseStatePrimary
Air Ambulance 3416A0800X NU Primary

Addresses

Primary practice location

600 N Fant St
Anderson, SC 29621-5704

Mailing address

PO Box 708
West Plains, MO 65775-0708
Phone (877) 288-5340

Other names 1

  • Lifeflight Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040920000969 SC Part B Supplier - Ambulance Service Supplier 8921904145 10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Anderson, SC; Greenville, SC; Greenwood, SC; Lancaster, SC; Mullins, SC; North Charleston, SC; Orangeburg, SC; Spartanburg, SC…

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Med-Trans Corp117 organizations share this tax ID, including this one
Part of
Med-Trans Corp

Organizations with this tax ID in the same state 7

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1154505667",
    "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",
            "telephone_number": "877-288-5340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N FANT ST",
            "city": "ANDERSON",
            "state": "SC",
            "postal_code": "296215704",
            "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": "2007-12-19",
        "last_updated": "2019-01-07",
        "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": "Lifeflight",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Anderson, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.

Verify at the official NPI Registry.