Organization Active NPI

Medical Transportation Service LLC

  • Land Ambulance
  • Memphis, TN
National Provider Identifier
1679030928
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
MEDICAL TRANSPORTATION SERVICE LLC
Practice address
2502 Mount Moriah Rd Ste A120
Memphis, TN 38115-7501
Phone
(901) 440-6219
Fax
(901) 507-8298
NPI assigned
Feb 22, 2019
Last updated
Feb 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Authorized official

Name
Michael Ryan WebbNPI 1457879785
Title
Member
Phone
(901) 440-6219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X NU Primary
Non-emergency Medical Transport (VAN) 343900000X NU

Addresses

Primary practice location

2502 Mount Moriah Rd Ste A120
Memphis, TN 38115-7501

Mailing address

PO Box 381047
Germantown, TN 38183-1047
Phone (901) 440-6219

Other identifiers 1

IdentifierTypeStateIssuer
EMS0000010255OtherTNSTATE LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190416002639 TN Part B Supplier - Ambulance Service Supplier 7517208770 Practice locations: Memphis, TN

National Provider Directory

National Provider Directory

Locations

2502 Mount Moriah Rd
Ste A120
Memphis, TN 38115
Phone (901) 440-6219

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1550793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1679030928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381047",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "381831047",
            "telephone_number": "901-440-6219",
            "fax_number": "901-507-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 MOUNT MORIAH RD STE A120",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381157501",
            "telephone_number": "901-440-6219",
            "fax_number": "901-507-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL TRANSPORTATION SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-22",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "901-440-6219"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "EMS0000010255",
            "state": "TN"
        }
    ],
    "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 Feb 9, 2024; 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.