Metro East Medical Transport, Inc

Primary specialty

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

License

1610314 Issued in IL

Legal business name

METRO EAST MEDICAL TRANSPORT, INC

Practice address

7720 Stonebridge Golf Dr
Maryville, IL 62062-6450

Phone

(618) 623-4582

Fax

(618) 301-3360

NPI assigned

Apr 30, 2008

Last updated

Apr 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathie Kay Goodwin

Title

Owner/Operator

Phone

(618) 623-4582

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1386810307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 STONEBRIDGE GOLF DR",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620626450",
            "telephone_number": "618-623-4582",
            "fax_number": "618-301-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7720 STONEBRIDGE GOLF DR",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620626450",
            "telephone_number": "618-623-4582",
            "fax_number": "618-301-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO EAST MEDICAL TRANSPORT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "KATHIE",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "618-623-4582"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "1610314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercy Clinic Specialists Services-Illinois LLC
• Mercy Clinic Surgical Specialists-Illinois LLC
• Heather Rae Merkle, LCPC
• Natalie Messina
• Metro East Healthcare Limited
• Sunny Mickey, RN
• Christina L Midkiff, M.D.
• Midwest Acute Care Consultants PC
• Midwest Emergency Services Inc
• Midwest Inpatient Anderson Health, Inc

• Non-emergency Medical Transport (VAN) in Maryville, IL
• Providers in Maryville, IL by specialty
• Non-emergency Medical Transport (VAN) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.