TLC Medical Transport, Inc

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

TLC MEDICAL TRANSPORT, INC

Practice address

2475 Lancaster Dr NE Ste 1
Salem, OR 97305-4264

Phone

(503) 509-6406

NPI assigned

Feb 17, 2021

Organization subpart

No

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

Authorized official

Name

Donald Leroy Crites

Title

President

Phone

(503) 991-3920

Specialties & licenses 1

Addresses

Other names 1

• TLC Medical Transport Doing business as

Locations

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1275126609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 133046",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757133046",
            "telephone_number": "503-991-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 LANCASTER DR NE STE 1",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973054264",
            "telephone_number": "503-509-6406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TLC MEDICAL TRANSPORT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "CRITES",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "LEROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-991-3920"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TLC Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jordan Rebecca Tinsley, M.S., CCC-SLP
• Trevor Wood Tippets, DPM
• Alex Ronald Tipton, LPC
• Scott James Tisler, DPT
• Mary Titus
• TLC West, L.L.C.
• Tam To
• Cristina Tobias, PT, DPT
• Danielle Tobin, MS
• Richard W Tobin, MD

• Non-emergency Medical Transport (VAN) in Salem, OR
• Providers in Salem, OR by specialty
• Non-emergency Medical Transport (VAN) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.