Organization Active NPI

Med-Star Transit LLC

  • Non-emergency Medical Transport (VAN)
  • Brandon, SD
National Provider Identifier
1720528110
Registry record updated Mar 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
DL130767 Issued in SD
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

Updated by the provider on Mar 3, 2017

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)CodeLicenseStatePrimary
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 Inc2 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.

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.

Verify at the official NPI Registry.