NPIMap

Organization Active NPI

M1 Med Car

  • Non-emergency Medical Transport (VAN)
  • Cahokia, IL
National Provider Identifier
1447784657
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
M250-5426-8284 Issued in IL
Legal business name
M1 MED CAR
Practice address
137 Saint Robert Dr
Cahokia, IL 62206-1840
Phone
(618) 509-3427
NPI assigned
Apr 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Authorized official

Name
Marlon Bradley Mason Sr.
Title
Medical Transportation Service
Phone
(618) 509-3427

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X M250-5426-8284 IL Primary

Addresses

Primary practice location

137 Saint Robert Dr
Cahokia, IL 62206-1840

Mailing address

137 Saint Robert Dr
Cahokia, IL 62206-1840
Phone (618) 509-3427

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1447784657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 SAINT ROBERT DR",
            "city": "CAHOKIA",
            "state": "IL",
            "postal_code": "622061840",
            "telephone_number": "618-509-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 SAINT ROBERT DR",
            "city": "CAHOKIA",
            "state": "IL",
            "postal_code": "622061840",
            "telephone_number": "618-509-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M1 MED CAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "MARLON",
        "authorized_official_middle_name": "BRADLEY",
        "authorized_official_title_or_position": "MEDICAL TRANSPORTATION SERVICE",
        "authorized_official_telephone_number": "618-509-3427",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IL",
            "license": "M250-5426-8284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cahokia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.