Organization Active NPI

Conquest Medical Transport, LLC

  • Ambulance
  • Macon, GA
National Provider Identifier
1245854280
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
CONQUEST MEDICAL TRANSPORT, LLC
Practice address
182 Riley Ave Ste F1
Macon, GA 31204-0777
Phone
(478) 259-2896
NPI assigned
Jun 5, 2020
Last updated
Sep 16, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Authorized official

Name
Miss Erica Turner
Title
Owner
Phone
(478) 259-2896

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU Primary

Addresses

Primary practice location

182 Riley Ave Ste F1
Macon, GA 31204-0777

Mailing address

182 Riley Ave Ste F1
Macon, GA 31204-0777
Phone (478) 259-2896

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address erica@conquestmedicaltransport.com Direct

National Provider Directory

National Provider Directory

Locations

182 Riley Ave
Ste F1
Macon, GA 31204
Phone (478) 259-2896

NPI Registry JSON

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

{
    "created_epoch": "1591315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1245854280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "182 RILEY AVE STE F1",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312040777",
            "telephone_number": "478-259-2896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 RILEY AVE STE F1",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312040777",
            "telephone_number": "478-259-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONQUEST MEDICAL TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-05",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "478-259-2896",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erica@conquestmedicaltransport.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "182 Riley Ave Ste F1",
            "city": "Macon",
            "state": "GA",
            "country_code": "US",
            "postal_code": "312040777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.