Organization Active NPI

Quality Med Transport LLC

  • Secured Medical Transport (VAN)
  • Fort Worth, TX
National Provider Identifier
1285311704
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Secured Medical Transport (VAN)Taxonomy code 343800000X
Legal business name
QUALITY MED TRANSPORT LLC
Doing business as
Quality Med Transport LLC
Practice address
5501 Jacksboro Hwy Ste 606
Fort Worth, TX 76114-1662
Phone
(214) 587-5763
Fax
(817) 420-6444
NPI assigned
Jun 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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

Authorized official

Name
Mr. Jacques KubalukaNPI 1417633777
Title
Manager
Phone
(214) 587-5763

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Secured Medical Transport (VAN) 343800000X Primary

Addresses

Primary practice location

5501 Jacksboro Hwy Ste 606
Fort Worth, TX 76114-1662

Mailing address

5501 Jacksboro Hwy Ste 606
Fort Worth, TX 76114-1662
Phone (214) 587-5763

Other names 1

  • QUALITY MED TRANSPORT LLC Doing business as

National Provider Directory

National Provider Directory

Locations

5501 Jacksboro Hwy
Ste 606
Fort Worth, TX 76114
Phone (214) 587-5763

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687910400000",
    "number": "1285311704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 JACKSBORO HWY STE 606",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761141662",
            "telephone_number": "214-587-5763",
            "fax_number": "817-420-6444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 JACKSBORO HWY STE 606",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761141662",
            "telephone_number": "214-587-5763",
            "fax_number": "817-420-6444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY MED TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A",
        "authorized_official_last_name": "KUBALUKA",
        "authorized_official_first_name": "JACQUES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "214-587-5763",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "QUALITY MED TRANSPORT LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.