Washington Hospital Center Corporation

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

License

HFD01-0210 Issued in DC

Legal business name

WASHINGTON HOSPITAL CENTER CORPORATION

Doing business as

Mid Atlantic Air Transport Service

Practice address

4390 Parliament PL Ste R
Lanham, MD 20706-1865

Phone

(301) 552-5730

Fax

(301) 306-8587

NPI assigned

Apr 28, 2006

Last updated

Jan 12, 2022By 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

Jeffrey A Matton

Title

SVP Integrated Operations

Phone

(410) 772-6818

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 1

• Mid Atlantic Air Transport Service Doing business as

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1588621833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418304",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022418304",
            "telephone_number": "301-552-5730",
            "fax_number": "301-306-8587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4390 PARLIAMENT PL STE R",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207061865",
            "telephone_number": "301-552-5730",
            "fax_number": "301-306-8587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON HOSPITAL CENTER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-28",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "MATTON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SVP INTEGRATED OPERATIONS",
        "authorized_official_telephone_number": "410-772-6818"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "DC",
            "license": "HFD01-0210",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011098759",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529602100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023410800",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-URBAN",
            "identifier": "W750",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS- RURAL",
            "identifier": "W810",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mid Atlantic Air Transport Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Courtney N Ward
• Datrell Ward, M.D.
• Brooke Ware
• Eric Wargotz, M.D.
• Shakia M Warren
• Latonya S Washington, OTR/L
• Micheal Washington
• Pauline Washington
• Tanir P Watkins
• Dwain Lewis Watts

• Air Ambulance in Lanham, MD
• Providers in Lanham, MD by specialty
• Air Ambulance in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2022; 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.