Active NPI
Med-Trans Corporation
- Land Ambulance
- Great Bend, KS
National Provider Identifier
1689022659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- Legal business name
- MED-TRANS CORPORATION
- Practice address
- 9025 4TH St
Great Bend, KS 67530-9767 - Phone
- (877) 288-5340
- NPI assigned
- May 31, 2016
- Last updated
- Sep 27, 2018
- Organization subpart
- Yes
- Parent organization
- MED-TRANS CORPORATION
NPPES NPI Registry
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
- (877) 288-5340
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Primary |
Addresses
Primary practice location
9025 4TH St
Great Bend, KS 67530-9767
Mailing address
PO Box 708
West Plains, MO 65775-0708
Phone (877) 288-5340
Other names 1
- EagleMed
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160309000038 | KS | Part B Supplier - Ambulance Service Supplier | 8921904145 |
16 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Overland Park, KS; Liberal, KS; Lawrence, KS; Great Bend, KS; Junction City, KS; Goodland, KS; Dodge City, KS; Chanute, KS… |
Other NPIs on the same Medicare enrollment 16
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Part of
- Medtrans Corpair Link
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538006400000",
"number": "1689022659",
"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",
"telephone_number": "877-288-5340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9025 4TH ST",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "675309767",
"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": "2016-05-31",
"last_updated": "2018-09-27",
"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": "877-288-5340"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "EagleMed",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "EagleMed",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Great Bend, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.