NPIMap

Organization Active NPI

Med-Trans Corporation

  • Air Ambulance
  • Oxford, MS
National Provider Identifier
1669143442
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
Legal business name
MED-TRANS CORPORATION
Practice address
2400 Jeff Davis Dr Ext
Oxford, MS 38655-5428
Phone
(877) 288-5340
NPI assigned
Sep 22, 2021
Last updated
Dec 8, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
MED-TRANS CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
Eric Thomas
Title
SVP of Revenue Management
Phone
(888) 807-9189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X NU Primary

Addresses

Primary practice location

2400 Jeff Davis Dr Ext
Oxford, MS 38655-5428

Mailing address

PO Box 708
West Plains, MO 65775-0708

Other names 1

  • Hospital Wing Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150325000487 MS Part B Supplier - Ambulance Service Supplier 8921904145 8 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbus, MS; Greenwood, MS; Gulfport, MS; Hattiesburg, MS; Jackson, MS; McComb, MS; Meridian, MS; Oxford, MS

Other NPIs on the same Medicare enrollment 8

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Med-Trans Corporation Wings117 organizations share this tax ID, including this one
Part of
Med-Trans Corporation Wings

Organizations with this tax ID in the same state 8

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

2400 Jeff Davis Dr Ext
Oxford, MS 38655
Phone (901) 857-2262

4400 State Highway 121
Ste 700
Lewisville, TX 75056
Phone (972) 204-5092

NPI Registry JSON

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1669143442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 708",
            "city": "WEST PLAINS",
            "state": "MO",
            "postal_code": "657750708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 JEFF DAVIS DR EXT",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555428",
            "telephone_number": "877-288-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED-TRANS CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MED-TRANS CORPORATION",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-01",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "SVP OF REVENUE MANAGEMENT",
        "authorized_official_telephone_number": "888-807-9189"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospital Wing",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Hospital Wing",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.