Healthone Critical Care Transport Services Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

5005 Issued in IL

Legal business name

HEALTHONE CRITICAL CARE TRANSPORT SERVICES INC

Doing business as

MedicOne Medical Response

Practice address

1131 Veterans Memorial Dr
Mount Vernon, IL 62864-6101

Phone

(866) 999-6339

Fax

(866) 215-6089

NPI assigned

Apr 12, 2007

Last updated

Nov 20, 2017By 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

James Reeves, NREMT-P

Title

President

Phone

(866) 999-6339

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• MedicOne Medical Response Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511136000000",
    "number": "1518181528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14290 GILLIS RD STE A",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443724",
            "telephone_number": "866-999-6339",
            "fax_number": "866-215-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 VETERANS MEMORIAL DR",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646101",
            "telephone_number": "866-999-6339",
            "fax_number": "866-215-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHONE CRITICAL CARE TRANSPORT SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2017-11-20",
        "status": "A",
        "authorized_official_last_name": "REEVES",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "866-999-6339",
        "authorized_official_credential": "NREMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "IL",
            "license": "5005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2532033",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOT OWCP",
            "identifier": "612312000",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedicOne Medical Response",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Havrilka, RN
• Amanda Lynn Hays, LPN
• Jon Riley Hays, MD
• Lisa Ellen Hayse, MHP
• Healing Hands Chiropractic, PC
• Heartland Occupational Medicine Physicians of Illinois S C (UltiMed Plus)
• Heartland Radiology Associates LTD
• Heartland Women's Healthcare, LTD (Heartland Women's Healthcare)
• Morgan Lynn Virginia Henry
• Elizabeth A Hensley, M.S., L.C.P.C.

• Land Ambulance in Mount Vernon, IL
• Providers in Mount Vernon, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.