Organization Active NPI

Cornwall Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Montgomery, AL
National Provider Identifier
1164994489
Registry record updated Dec 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
CORNWALL TRANSPORTATION LLC
Practice address
2 N Jackston St #605
Montgomery, AL 36104
Phone
(651) 214-8800
NPI assigned
Dec 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2018

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

Authorized official

Name
Mr. Agbodesi Okpetu
Title
Member
Phone
(651) 214-8800

Specialties & licenses 1

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

Addresses

Primary practice location

2 N Jackston St #605
Montgomery, AL 36104

Mailing address

10311 Lark RDG
Houston, TX 77070-4873
Phone (651) 214-8800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545868800000",
    "number": "1164994489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10311 LARK RDG",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704873",
            "telephone_number": "651-214-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 N JACKSTON ST #605",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36104",
            "telephone_number": "651-214-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNWALL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-27",
        "last_updated": "2018-12-27",
        "status": "A",
        "authorized_official_last_name": "OKPETU",
        "authorized_official_first_name": "AGBODESI",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "651-214-8800",
        "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": []
}

Other providers in Montgomery, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2018; 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.