Active NPI
Mar Mac Transportation Services Inc
- Land Ambulance
- Hampton, VA
National Provider Identifier
1427051382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 882
- Legal business name
- MAR MAC TRANSPORTATION SERVICES INC
- Practice address
- 5000 Incubator Rd
Ste 101
Hampton, VA 23661-1347 - Phone
- (866) 343-7153
- Fax
- (757) 787-9436
- NPI assigned
- May 24, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Matthew T Ellis
- Title
- Ar MGR
- Phone
- (757) 655-0029
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 882 | VA | Primary |
Addresses
Primary practice location
5000 Incubator Rd
Ste 101
Hampton, VA 23661-1347
Mailing address
PO Box 538341
Atlanta, GA 30353-8341
Phone (866) 343-7153
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 317940 | Other | VA | ANTHEM BCBS |
| 590013449 | Other | RAILROAD MEDICARE | |
| 009012648 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
9084 John Clayton Memorial Hwy
Gloucester, VA 23061
Phone 80469481484
6 Newsome Pl
Hampton, VA 23661
Phone (757) 655-0029
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1347408000000",
"number": "1427051382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 538341",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303538341",
"telephone_number": "866-343-7153",
"fax_number": "757-787-9436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 INCUBATOR RD",
"address_2": "STE 101",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236611347",
"telephone_number": "866-343-7153",
"fax_number": "757-787-9436"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAR MAC TRANSPORTATION SERVICES INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-05-24",
"last_updated": "2012-09-12",
"status": "A",
"authorized_official_last_name": "ELLIS",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "AR MGR",
"authorized_official_telephone_number": "757-655-0029",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "VA",
"license": "882",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "317940",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "590013449",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009012648",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.