Medi-Tran Non-Emergency Medical Transportation

Primary specialty

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

Legal business name

MEDI-TRAN NON-EMERGENCY MEDICAL TRANSPORTATION

Practice address

2005 Broadway St Ste 115
Beaumont, TX 77701-1945

Phone

(832) 971-0184

Fax

(866) 891-4447

NPI assigned

Oct 17, 2014

Last updated

Oct 17, 2014By 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

Tonika Balque

Title

Owner

Phone

(832) 971-0184

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1427452697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 BROADWAY ST STE 115",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777011945",
            "telephone_number": "832-971-0184",
            "fax_number": "866-891-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 BROADWAY ST STE 115",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777011945",
            "telephone_number": "832-971-0184",
            "fax_number": "866-891-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI-TRAN NON-EMERGENCY MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "BALQUE",
        "authorized_official_first_name": "TONIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-971-0184"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; 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.