NPIMap

Organization Active NPI

Patriot Medical Transport System, LLC

  • Ambulance
  • Mechanicsville, MD
National Provider Identifier
1497905707
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
MD.COMM.AMB.LIC#126 Issued in MD
Legal business name
PATRIOT MEDICAL TRANSPORT SYSTEM, LLC
Practice address
38588 Brett Way
Mechanicsville, MD 20659-7218
Phone
(301) 290-5202
Fax
(301) 290-5240
NPI assigned
Sep 23, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Authorized official

Name
Mr. Victor M Demattia
Title
Owner
Phone
(301) 290-5202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X MD.COMM.AMB.LIC#126 MD Primary

Addresses

Primary practice location

38588 Brett Way
Mechanicsville, MD 20659-7218

Mailing address

38588 Brett Way
P,O, Box 403
Mechanicsville, MD 20659-7218
Phone (301) 290-5202

National Provider Directory

National Provider Directory

Locations

38588 Brett Way
Mechanicsville, MD 20659
Phone (301) 290-5202

38588 Brett Way
#403
Mechanicsvlle, MD 20659
Phone (301) 290-5202

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1222128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1497905707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38588 BRETT WAY",
            "address_2": "P,O, BOX 403",
            "city": "MECHANICSVILLE",
            "state": "MD",
            "postal_code": "206597218",
            "telephone_number": "301-290-5202",
            "fax_number": "301-290-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38588 BRETT WAY",
            "city": "MECHANICSVILLE",
            "state": "MD",
            "postal_code": "206597218",
            "telephone_number": "301-290-5202",
            "fax_number": "301-290-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIOT MEDICAL TRANSPORT SYSTEM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-23",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "DEMATTIA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-290-5202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "MD",
            "license": "MD.COMM.AMB.LIC#126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.