Organization Active NPI

Medicx Trans LLC

  • Non-emergency Medical Transport (VAN)
  • Bettendorf, IA
National Provider Identifier
1548927668
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MEDICX TRANS LLC
Practice address
3525 N Willow CT Apt 3
Bettendorf, IA 52722-2892
Phone
(563) 551-3143
Fax
(563) 551-2733
NPI assigned
Nov 23, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Authorized official

Name
Mr. Mohammed S Ibrahim, OFFICIAL REP
Title
Ceo
Phone
(919) 637-0546

Specialties & licenses 1

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

Addresses

Primary practice location

3525 N Willow CT Apt 3
Bettendorf, IA 52722-2892

Mailing address

PO Box 661
Bettendorf, IA 52722-0012
Phone (563) 551-3143

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MEDICX.TRANS@HOTMAIL.COM Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1637625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637625600000",
    "number": "1548927668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 661",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527220012",
            "telephone_number": "563-551-3143",
            "fax_number": "563-551-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 N WILLOW CT APT 3",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527222892",
            "telephone_number": "563-551-3143",
            "fax_number": "563-551-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICX TRANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-23",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-637-0546",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OFFICIAL REP"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MEDICX.TRANS@HOTMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "COMPANY EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3525 N Willow Ct Apt 3",
            "city": "Bettendorf",
            "state": "IA",
            "country_code": "US",
            "postal_code": "527222892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.