NPIMap

Organization Active NPI

Med Mobile LLC

  • Non-emergency Medical Transport (VAN)
  • Kettering, OH
National Provider Identifier
1285911198
Registry record updated Nov 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
RV999798 Issued in OH
Legal business name
MED MOBILE LLC
Practice address
2800 Parklawn Dr
Kettering, OH 45440-1539
Phone
(937) 304-9272
Fax
(937) 985-9126
NPI assigned
Nov 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2011

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

Authorized official

Name
Mr. Bryce A Bookmiller
Title
C.O.O
Phone
(937) 304-9272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X RV999798 OH Primary

Addresses

Primary practice location

2800 Parklawn Dr
Kettering, OH 45440-1539

Mailing address

2800 Parklawn Dr
Kettering, OH 45440-1539
Phone (937) 304-9272

National Provider Directory

National Provider Directory
Tax ID family
Med Mobile2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1320451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320451200000",
    "number": "1285911198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 PARKLAWN DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454401539",
            "telephone_number": "937-304-9272",
            "fax_number": "937-985-9126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 PARKLAWN DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454401539",
            "telephone_number": "937-304-9272",
            "fax_number": "937-985-9126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED MOBILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-05",
        "last_updated": "2011-11-05",
        "status": "A",
        "authorized_official_last_name": "BOOKMILLER",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "C.O.O",
        "authorized_official_telephone_number": "937-304-9272",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "RV999798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2011; 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.