Med-Trans Corporation

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

Legal business name

MED-TRANS CORPORATION

Practice address

1171 W Target Range Rd
Nogales, AZ 85621-2415

Phone

(877) 288-5340

NPI assigned

Oct 10, 2008

Last updated

Sep 27, 2018By 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

Eric Thomas

Title

SVP of Revenue Management

Phone

(877) 288-5340

Specialties & licenses 1

Addresses

Other names 1

• Arizona LifeLine III Other name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Med-Trans Corporation

  • Air Ambulance
  • Saint David, AZ
  • NPI 1396761516

  O20040223000975

  Same enrollment
• Med-Trans Corporation

  • Air Ambulance
  • Douglas, AZ
  • NPI 1518983774

  O20040223000975

  Same enrollment
• Med-Trans Corporation

  • Air Ambulance
  • Casa Grande, AZ
  • NPI 1952808230

  O20040223000975

  Same enrollment

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538006400000",
    "number": "1609027432",
    "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": "1171 W TARGET RANGE RD",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856212415",
            "telephone_number": "877-288-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-TRANS CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2018-09-27",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "SVP OF 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": "Arizona LifeLine III",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Arizona LifeLine III",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Martinez Home Care
• Jeffrey Thomas Maudlin, M.D.
• Norma A N Mayer, MA, LPC
• Bart L MC Rae, M.D.
• Shalonda Nekesh McAdams Marshall, LPC
• Omar Mendoza, M.D.
• Raquel Anne Mendoza, FNP-C
• Mentally Ill Kids in Distress
• Jorge Raul Mera, MD
• Holly Mikayla Milner, BSN, RN

• Air Ambulance in Nogales, AZ
• Providers in Nogales, AZ by specialty
• Air Ambulance in Arizona

• 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.

Verify at the official NPI Registry.