Organization Active NPI

Grant Medical Transportation, Inc

  • Non-emergency Medical Transport (VAN)
  • Port Charlotte, FL
National Provider Identifier
1619091360
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
GRANT MEDICAL TRANSPORTATION, INC
Practice address
4351 Pinnacle Street
Port Charlotte, FL 33980-2902
Phone
(941) 743-3665
Fax
(941) 629-2193
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Authorized official

Name
Alan J Skavroneck
Title
Chief Operating Officer
Phone
(941) 613-6427

Specialties & licenses 1

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

Addresses

Primary practice location

4351 Pinnacle Street
Port Charlotte, FL 33980-2902

Mailing address

4351 Pinnacle Street
Port Charlotte, FL 33980-2902
Phone (941) 743-3665

Other identifiers 1

IdentifierTypeStateIssuer
086980500MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1619091360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4351 PINNACLE STREET",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339802902",
            "telephone_number": "941-743-3665",
            "fax_number": "941-629-2193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4351 PINNACLE STREET",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339802902",
            "telephone_number": "941-743-3665",
            "fax_number": "941-629-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANT MEDICAL TRANSPORTATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "SKAVRONECK",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "941-613-6427"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086980500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.