NPIMap

Organization Active NPI

Medical Transportation Management, Inc.

  • Transportation Broker
  • Lake St Louis, MO
National Provider Identifier
1629792767
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transportation BrokerTaxonomy code 347E00000X
Legal business name
MEDICAL TRANSPORTATION MANAGEMENT, INC.
Practice address
16 Hawk Ridge Cir
Lake St Louis, MO 63367-1861
Phone
(636) 561-5686
NPI assigned
Oct 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Alaina Macia
Title
Ceo & President
Phone
(636) 561-5686

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transportation Broker 347E00000X Primary

Addresses

Primary practice location

16 Hawk Ridge Cir
Lake St Louis, MO 63367-1861

Mailing address

16 Hawk Ridge Cir
Lake St Louis, MO 63367-1861
Phone (636) 561-5686

Other identifiers 1

IdentifierTypeStateIssuer
659960033MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Medical Transportation Management Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1629792767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 HAWK RIDGE CIR",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671861",
            "telephone_number": "636-561-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 HAWK RIDGE CIR",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671861",
            "telephone_number": "636-561-5686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL TRANSPORTATION MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "MACIA",
        "authorized_official_first_name": "ALAINA",
        "authorized_official_title_or_position": "CEO & PRESIDENT",
        "authorized_official_telephone_number": "636-561-5686"
    },
    "taxonomies": [
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "659960033",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake St Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.