Organization Active NPI

Memphis Medic Transportaion LLC

  • Non-emergency Medical Transport (VAN)
  • Memphis, TN
National Provider Identifier
1639546286
Registry record updated Aug 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MEMPHIS MEDIC TRANSPORTAION LLC
Practice address
1762 Lochearn Rd
Memphis, TN 38116-3622
Phone
(901) 289-9046
Fax
(901) 348-2050
NPI assigned
Aug 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2015

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

Authorized official

Name
Jerry Lynn Galloway
Title
General Manger
Phone
(901) 289-9046

Specialties & licenses 1

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

Addresses

Primary practice location

1762 Lochearn Rd
Memphis, TN 38116-3622

Mailing address

1762 Lochearn Rd
Memphis, TN 38116-3622
Phone (901) 289-9046

National Provider Directory

National Provider Directory

Locations

1762 Lochearn Rd
Memphis, TN 38116
Phone (901) 289-9046

NPI Registry JSON

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

{
    "created_epoch": "1440979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440979200000",
    "number": "1639546286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1762 LOCHEARN RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381163622",
            "telephone_number": "901-289-9046",
            "fax_number": "901-348-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 LOCHEARN RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381163622",
            "telephone_number": "901-289-9046",
            "fax_number": "901-348-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS MEDIC TRANSPORTAION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-31",
        "last_updated": "2015-08-31",
        "status": "A",
        "authorized_official_last_name": "GALLOWAY",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "GENERAL MANGER",
        "authorized_official_telephone_number": "901-289-9046"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2015; 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.