Active NPI
Med-Star Transit LLC
- Non-emergency Medical Transport (VAN)
- Brandon, SD
National Provider Identifier
1720528110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- DL130767
- Legal business name
- MED-STAR TRANSIT LLC
- Practice address
- 922 E Redwood Blvd
Brandon, SD 57005-2563 - Phone
- (605) 582-6096
- NPI assigned
- Mar 3, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jack Masur
- Title
- Owner/Ceo
- Phone
- (605) 582-6096
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | DL130767 | SD | Primary |
Addresses
Primary practice location
922 E Redwood Blvd
Brandon, SD 57005-2563
Mailing address
PO Box 512
Brandon, SD 57005-0512
National Provider Directory
National Provider Directory- Tax ID family
- Med Star Paramedic Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Land Ambulance
- Brandon, SD
- NPI 1548334246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488499200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488499200000",
"number": "1720528110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 512",
"city": "BRANDON",
"state": "SD",
"postal_code": "570050512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "922 E REDWOOD BLVD",
"city": "BRANDON",
"state": "SD",
"postal_code": "570052563",
"telephone_number": "605-582-6096"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED-STAR TRANSIT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-03",
"last_updated": "2017-03-03",
"status": "A",
"authorized_official_last_name": "MASUR",
"authorized_official_first_name": "JACK",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "605-582-6096"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "SD",
"license": "DL130767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.