Active NPI
Med-Trans Corporation
- Air Ambulance
- Jasper, TX
National Provider Identifier
1588680383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Air Ambulance
- Legal business name
- MED-TRANS CORPORATION
- Practice address
- 602 W Gibson St
Jasper, TX 75951-4910 - Phone
- (877) 288-5340
- NPI assigned
- Jul 14, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Thomas
- Title
- SVP Revenue Management
- Phone
- (877) 288-5340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | Primary |
Addresses
Primary practice location
602 W Gibson St
Jasper, TX 75951-4910
Mailing address
PO Box 708
West Plains, MO 65775-0708
Phone (877) 288-5340
Other names 1
- Southeast Texas Air Rescue 2
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040731000277 | TX | Part B Supplier - Ambulance Service Supplier | 8921904145 |
21 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: San Angelo, TX; Seminole, TX; Plainview, TX; Pecos, TX; Pampa, TX; Odessa, TX; Lubbock, TX; Fort Stockton, TX… |
Other NPIs on the same Medicare enrollment 21
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538006400000",
"number": "1588680383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 708",
"city": "WEST PLAINS",
"state": "MO",
"postal_code": "657750708",
"telephone_number": "877-288-5340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 W GIBSON ST",
"city": "JASPER",
"state": "TX",
"postal_code": "759514910",
"telephone_number": "877-288-5340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED-TRANS CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-14",
"last_updated": "2018-09-27",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "SVP REVENUE MANAGEMENT",
"authorized_official_telephone_number": "877-288-5340"
},
"taxonomies": [
{
"code": "3416A0800X",
"taxonomy_group": "",
"desc": "Ambulance, Air Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Southeast Texas Air Rescue 2",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Southeast Texas Air Rescue 2",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Jasper, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.