MRW Medical Transport, LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1000884 Issued in TX

Legal business name

MRW MEDICAL TRANSPORT, LLC

Doing business as

Premier EMS

Practice address

3700 Fredericksburg Rd
Suite 117
San Antonio, TX 78201-3269

Phone

(210) 226-1111

NPI assigned

Mar 4, 2013

Last updated

Feb 18, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Micaela Wooten

Title

Ceo

Phone

(210) 834-2559

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Premier EMS Doing business as

Locations

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455753600000",
    "number": "1679814453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 898",
            "city": "BUDA",
            "state": "TX",
            "postal_code": "786100898",
            "telephone_number": "210-226-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 FREDERICKSBURG RD",
            "address_2": "SUITE 117",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782013269",
            "telephone_number": "210-226-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRW MEDICAL TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-04",
        "last_updated": "2016-02-18",
        "status": "A",
        "authorized_official_last_name": "WOOTEN",
        "authorized_official_first_name": "MICAELA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-834-2559"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "TX",
            "license": "1000884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR",
            "identifier": "208286",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "01973471",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED",
            "identifier": "0267885",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "326568801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Land Ambulance in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Land Ambulance in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.