Organization Active NPI

Mar Mac Transportation Services Inc

  • Land Ambulance
  • Hampton, VA
National Provider Identifier
1427051382
Registry record updated Sep 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
882 Issued in VA
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

Updated by the provider on Sep 12, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
317940OtherVAANTHEM BCBS
590013449OtherRAILROAD MEDICARE
009012648MedicaidVA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.