Organization Active NPI

Legacy Medical Transport

  • Ambulance
  • Aberdeen, OH
National Provider Identifier
1528574142
Registry record updated Feb 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
LEGACY MEDICAL TRANSPORT
Practice address
130 Stivers Rd
Aberdeen, OH 45101-9389
Phone
(937) 795-5141
NPI assigned
Dec 19, 2017
Last updated
Feb 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2018

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

Authorized official

Name
Phillip TruesdellNPI 1457870578
Title
Owner
Phone
(937) 795-5141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X NU Primary

Addresses

Primary practice location

130 Stivers Rd
Aberdeen, OH 45101-9389

Mailing address

130 Stivers Rd
Aberdeen, OH 45101-9389

National Provider Directory

National Provider Directory

Locations

130 Stivers Rd
Aberdeen, OH 45101
Phone (937) 795-5141

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518134400000",
    "number": "1528574142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 STIVERS RD",
            "city": "ABERDEEN",
            "state": "OH",
            "postal_code": "451019389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 STIVERS RD",
            "city": "ABERDEEN",
            "state": "OH",
            "postal_code": "451019389",
            "telephone_number": "937-795-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-19",
        "last_updated": "2018-02-09",
        "status": "A",
        "authorized_official_last_name": "TRUESDELL",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-795-5141"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; 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.