Organization Active NPI

Community Medical Transport LTD

Doing business as Community Medical Transport of Illinois

  • Non-emergency Medical Transport (VAN)
  • Rock Island, IL
National Provider Identifier
1194332213
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
COMMUNITY MEDICAL TRANSPORT LTD
Doing business as
Community Medical Transport of Illinois
Practice address
534 16TH St Ste C
Rock Island, IL 61201-8635
Phone
(217) 331-3641
NPI assigned
Sep 24, 2020
Last updated
Sep 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Authorized official

Name
Mrs. Regine Uwimana Muzerwa
Title
President/Ceo
Phone
(217) 331-3641

Specialties & licenses 1

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

Addresses

Primary practice location

534 16TH St Ste C
Rock Island, IL 61201-8635

Mailing address

749 26TH Avenue CT
Silvis, IL 61282-2870
Phone (217) 331-3641

Other names 1

  • COMMUNITY MEDICAL TRANSPORT OF ILLINOIS Doing business as

National Provider Directory

National Provider Directory

Locations

534 16th St
Ste C
Rock Island, IL 61201
Phone (217) 331-3641

NPI Registry JSON

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1194332213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 26TH AVENUE CT",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612822870",
            "telephone_number": "217-331-3641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 16TH ST STE C",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612018635",
            "telephone_number": "217-331-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL TRANSPORT LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "MUZERWA",
        "authorized_official_first_name": "REGINE",
        "authorized_official_middle_name": "UWIMANA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "217-331-3641",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY MEDICAL TRANSPORT OF ILLINOIS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rock Island, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.