Organization Active NPI

Quality Med Transport, Inc.

  • Non-emergency Medical Transport (VAN)
  • Urbana, IL
National Provider Identifier
1619467123
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
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

Updated by the provider on May 10, 2018

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.