Active NPI
Integrated Medical Transport LLC
- Ambulance
- Mechanicsburg, PA
National Provider Identifier
1225581200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161028001220 | PA | Part B Supplier - Ambulance Service Supplier | 8729366588 | Practice locations: Camp Hill, PA |
National Provider Directory
National Provider DirectoryLocations
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.