Carilion Clinic Patient Transportation, LLC

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

License

468 Issued in VA

Legal business name

CARILION CLINIC PATIENT TRANSPORTATION, LLC

Practice address

431 McClanahan St. SW
Roanoke, VA 24014-1756

Phone

(540) 981-8731

Fax

(540) 344-5674

NPI assigned

May 27, 2006

Last updated

Dec 15, 2009By 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

Mr. Donald E Lorton

Title

Evp. Treasurer

Phone

(540) 224-5125

Specialties & licenses 4

Addresses

Other identifiers 7

Other names 1

• Carilion Patient Transportation Services, LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Tax ID family

Lifeguard of America2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Carilion Patient Transportation Services LLC

  • Air Ambulance
  • Roanoke, VA
  • NPI 1922141977
  NPD tax ID

Locations

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260835200000",
    "number": "1710934617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 11865",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "24022",
            "telephone_number": "540-981-8731",
            "fax_number": "540-344-5674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 MCCLANAHAN ST. SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240141756",
            "telephone_number": "540-981-8731",
            "fax_number": "540-344-5674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARILION CLINIC PATIENT TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2009-12-15",
        "status": "A",
        "authorized_official_last_name": "LORTON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EVP. TREASURER",
        "authorized_official_telephone_number": "540-224-5125",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "VA",
            "license": "468",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "VA",
            "license": "468",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0146080000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "282817",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0145210000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009012401",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "282625",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009020306",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009010131",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carilion Patient Transportation Services, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Carilion Emergency Services, Inc. (VelocityCare)
• Carilion Healthcare Corporation (Bridgewater College Student Health Center)

• Air Ambulance in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Air Ambulance in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2009; 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.