Active NPI
Quality Med Transport, Inc.
- Non-emergency Medical Transport (VAN)
- Urbana, IL
National Provider Identifier
1619467123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- QUALITY MED TRANSPORT, INC.
- Practice address
- 3515 N Cunningham Ave
Urbana, IL 61802-9714 - Phone
- (217) 607-2468
- Fax
- (309) 403-6206
- NPI assigned
- May 10, 2018
- 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
- Mr. Glen Dale Judy III
- Title
- President
- Phone
- (954) 632-0411
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary | ||
| Transportation Broker | 347E00000X |
Addresses
Primary practice location
3515 N Cunningham Ave
Urbana, IL 61802-9714
Mailing address
3515 N Cunningham Ave
Urbana, IL 61802-9714
Phone (217) 607-2468
Other practice location 1
8831 Business Park Dr Ste 301
Fort Myers, FL 33912-2510
Phone (239) 240-8089
Other practice location 2
8051 N Tamiami Trl Ste F-7
Sarasota, FL 34243-2032
Phone (239) 240-8089
National Provider Directory
National Provider DirectoryLocations
8831 Business Park Dr
Ste 301
Fort Myers, FL 33912
Phone (239) 240-8089
8051 N Tamiami Trl
Ste F7
Sarasota, FL 34243
Phone (239) 240-8089
3515 N Cunningham Ave
Urbana, IL 61802
Phone (217) 607-2468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1525910400000",
"number": "1619467123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3515 N CUNNINGHAM AVE",
"city": "URBANA",
"state": "IL",
"postal_code": "618029714",
"telephone_number": "217-607-2468",
"fax_number": "309-403-6206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 N CUNNINGHAM AVE",
"city": "URBANA",
"state": "IL",
"postal_code": "618029714",
"telephone_number": "217-607-2468",
"fax_number": "309-403-6206"
}
],
"practiceLocations": [
{
"address_1": "8831 Business Park Dr Ste 301",
"address_purpose": "LOCATION",
"city": "Fort Myers",
"state": "FL",
"postal_code": "339122510",
"country_code": "US",
"telephone_number": "239-240-8089",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8051 N Tamiami Trl Ste F-7",
"address_purpose": "LOCATION",
"city": "Sarasota",
"state": "FL",
"postal_code": "342432032",
"country_code": "US",
"telephone_number": "239-240-8089",
"fax_number": "239-240-8358",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "QUALITY MED TRANSPORT, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-10",
"last_updated": "2018-05-10",
"status": "A",
"authorized_official_last_name": "JUDY",
"authorized_official_first_name": "GLEN",
"authorized_official_middle_name": "DALE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "954-632-0411",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
},
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Urbana, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.