Organization Active NPI

Garrett Medical Transport, Inc.

  • Land Ambulance
  • Oakland, MD
National Provider Identifier
1699740415
Registry record updated Nov 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
40 Issued in MD
Legal business name
GARRETT MEDICAL TRANSPORT, INC.
Practice address
103 Shenandoah Ave
Oakland, MD 21550-2913
Phone
(301) 334-6405
Fax
(301) 334-6405
NPI assigned
Feb 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2011

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

Authorized official

Name
Gary Willmon
Title
President
Phone
(301) 334-5100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 40 MD Primary

Addresses

Primary practice location

103 Shenandoah Ave
Oakland, MD 21550-2913

Mailing address

PO Box 728
Oakland, MD 21550-4728
Phone (301) 334-5100

Other identifiers 3

IdentifierTypeStateIssuer
0145222000MedicaidWV
TR36OtherBC/MD
407752100MedicaidMD

National Provider Directory

National Provider Directory

Locations

222 N 3rd St
Oakland, MD 21550
Phone (301) 334-7900

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320278400000",
    "number": "1699740415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 728",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215504728",
            "telephone_number": "301-334-5100",
            "fax_number": "301-533-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 SHENANDOAH AVE",
            "city": "OAKLAND",
            "state": "MD",
            "postal_code": "215502913",
            "telephone_number": "301-334-6405",
            "fax_number": "301-334-6405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARRETT MEDICAL TRANSPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-23",
        "last_updated": "2011-11-03",
        "status": "A",
        "authorized_official_last_name": "WILLMON",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "301-334-5100"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "MD",
            "license": "40",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145222000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/MD",
            "identifier": "TR36",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "407752100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.