Med-Trans Corporation
Organization Active NPI Air Ambulance · Nashville, TN
NPI 1164029021 · NPPES record last updated Nov 28, 2022
Key facts
- NPI
- 1164029021
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Air Ambulance 3416A0800X
- Legal business name
- MED-TRANS CORPORATION
- Practice address
- 3443 Dickerson Pike Ste 512
Nashville, TN 37207-2520 - Phone
- (877) 288-5340
- NPI assigned
- Oct 5, 2020
- Organization subpart
- Yes
- Parent organization (as reported)
- MED-TRANS CORPORATION
Authorized official
- Name
- Eric Thomas
- Title
- SVP Revenue Management
- Phone
- (877) 288-5340
Other NPIs on the same Medicare enrollment 15
Corporate family (same tax ID) 12
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070824000217 | TN | Part B Supplier - Ambulance Service Supplier | 8921904145 |
15 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Rockwood, TN; Winchester, TN; Sweetwater, TN; Sparta, TN; Sevierville, TN; Nashville, TN; Memphis, TN; MC Kenzie, TN… |
National Provider Directory
- Tax ID family
- Med Star
- Part of
- Med Star
Locations
3441 Dickerson Pike
Ste 512
Nashville, TN 37207
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | Yes |
Addresses
Primary practice location
3443 Dickerson Pike Ste 512
Nashville, TN 37207-2520
Mailing address
PO Box 708
West Plains, MO 65775-0708
Other practice location 1
2300 Patterson St
Nashville, TN 37203-1538
Phone (877) 288-5340
Other names
- SkyLife
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.