Apache Med Trans LLC

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

Legal business name

APACHE MED TRANS LLC

Practice address

60 E. Rio Salado Parkway
Suite 900
Tempe, AZ 85281

Phone

(913) 663-5535

Fax

(913) 663-1503

NPI assigned

Jul 28, 2010

Organization subpart

No

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

Authorized official

Name

David Carl Carlson

Title

Vice President

Phone

(913) 663-5535

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1280275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1679887079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26785",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662256785",
            "telephone_number": "913-663-5535",
            "fax_number": "913-663-1503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E. RIO SALADO PARKWAY",
            "address_2": "SUITE 900",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "85281",
            "telephone_number": "913-663-5535",
            "fax_number": "913-663-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APACHE MED TRANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-28",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "CARLSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "CARL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "913-663-5535"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.