Organization Active NPI

Trans-Care of Panama

Doing business as Keidric V Cook SR Sole MBR

  • Non-emergency Medical Transport (VAN)
  • Panama City, FL
National Provider Identifier
1518566579
Registry record updated Nov 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
TRANS-CARE OF PANAMA
Doing business as
Keidric V Cook SR Sole MBR
Practice address
401 N Church Ave
Panama City, FL 32401-4763
Phone
(850) 832-7042
NPI assigned
Oct 21, 2020
Last updated
Nov 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2020

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

Authorized official

Name
Keidrick V Cook, PRESIDENT
Title
Ceo
Phone
(850) 832-7042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

401 N Church Ave
Panama City, FL 32401-4763

Mailing address

401 N Church Ave
Panama City, FL 32401-4763
Phone (850) 832-7042

Other names 1

  • Keidric V Cook SR Sole MBR Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606176000000",
    "number": "1518566579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N CHURCH AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324014763",
            "telephone_number": "850-832-7042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 N CHURCH AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324014763",
            "telephone_number": "850-832-7042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANS-CARE OF PANAMA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-11-24",
        "certification_date": "2020-11-24",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "KEIDRICK",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "850-832-7042",
        "authorized_official_credential": "PRESIDENT"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keidric V Cook SR Sole MBR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2020; 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.