Med-Trans Corporation
Organization Active NPI Air Ambulance · Hardy, VA
NPI 1669745915 · NPPES record last updated Sep 27, 2018
Key facts
- NPI
- 1669745915
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Air Ambulance 3416A0800X
- Legal business name
- MED-TRANS CORPORATION
- Practice address
- 345 Westlake Rd
Hardy, VA 24101-3993 - Phone
- (877) 288-5340
- NPI assigned
- Feb 17, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- MED-TRANS CORPORATION
Authorized official
- Name
- Eric Thomas
- Title
- SVP of Revenue Management
- Phone
- (877) 288-5340
Other NPIs on the same Medicare enrollment 9
Corporate family (same tax ID) 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in VA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080623000300 | VA | Part B Supplier - Ambulance Service Supplier | 8921904145 |
9 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: South Hill, VA; Roanoke, VA; Petersburg, VA; Norton, VA; Mattaponi, VA; Lexington, VA; Marion, VA; Ashland, VA… |
National Provider Directory
- Tax ID family
- Med Star
- Part of
- Med Star
Locations
345 Westlake Rd
Hardy, VA 24101
Phone (206) 468-9015
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | Yes |
Addresses
Primary practice location
345 Westlake Rd
Hardy, VA 24101-3993
Mailing address
PO Box 708
West Plains, MO 65775-0708
Phone (877) 288-5340
Other names
- Life-Guard 10
Other providers in Hardy, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.