Organization Active NPI

Legacy Medical Transport, LLC

  • Non-emergency Medical Transport (VAN)
  • Oklahoma City, OK
National Provider Identifier
1366748220
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
SV07 Issued in OK
Legal business name
LEGACY MEDICAL TRANSPORT, LLC
Practice address
3813 NW 51St St
Oklahoma City, OK 73112-2045
Phone
(405) 255-3361
Fax
(888) 999-8984
NPI assigned
Feb 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Authorized official

Name
Mark Strunk
Title
President
Phone
(405) 255-3361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X SV07 OK Primary

Addresses

Primary practice location

3813 NW 51St St
Oklahoma City, OK 73112-2045

Mailing address

3813 NW 51St St
Oklahoma City, OK 73112-2045

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1366748220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3813 NW 51ST ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122045",
            "fax_number": "888-999-8984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3813 NW 51ST ST",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731122045",
            "telephone_number": "405-255-3361",
            "fax_number": "888-999-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY MEDICAL TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "STRUNK",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "405-255-3361"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OK",
            "license": "SV07",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.