Organization Active NPI

Integrated Medical Transport LLC

  • Ambulance
  • Mechanicsburg, PA
National Provider Identifier
1225581200
Registry record updated Jul 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
INTEGRATED MEDICAL TRANSPORT LLC
Practice address
322 E Allen St
Suite C
Mechanicsburg, PA 17055-3307
Phone
(717) 590-8179
Fax
(717) 620-8224
NPI assigned
Jul 26, 2016
Last updated
Jul 26, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2016

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

Authorized official

Name
Mr. Matthew D Rohman
Title
Partner
Phone
(717) 712-2413

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X PA Primary
Land Ambulance 3416L0300X

Addresses

Primary practice location

322 E Allen St
Suite C
Mechanicsburg, PA 17055-3307

Mailing address

322 E Allen St
Suite C
Mechanicsburg, PA 17055-3307
Phone (717) 590-8179

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161028001220 PA Part B Supplier - Ambulance Service Supplier 8729366588 Practice locations: Camp Hill, PA

National Provider Directory

National Provider Directory

Locations

1600 Hummel Ave
Camp Hill, PA 17011
Phone (717) 590-8179

2999 Revere St
Harrisburg, PA 17111
Phone (717) 590-8179

322 E Allen St
Ste C
Mechanicsburg, PA 17055
Phone (717) 590-8179

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1225581200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 E ALLEN ST",
            "address_2": "SUITE C",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170553307",
            "telephone_number": "717-590-8179",
            "fax_number": "717-620-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 E ALLEN ST",
            "address_2": "SUITE C",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170553307",
            "telephone_number": "717-590-8179",
            "fax_number": "717-620-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "ROHMAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "717-712-2413",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "PA",
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.