Organization Active NPI

Memphis Medical Transportation Inc

  • Private Vehicle
  • Cordova, TN
National Provider Identifier
1770290777
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
MEMPHIS MEDICAL TRANSPORTATION INC
Practice address
1626 Far Dr
Cordova, TN 38016-1673
Phone
(901) 652-1731
NPI assigned
Oct 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Authorized official

Name
Osman Udetallah
Title
Incorporator
Phone
(901) 652-1731

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X Primary

Addresses

Primary practice location

1626 Far Dr
Cordova, TN 38016-1673

Mailing address

1626 Far Dr
Cordova, TN 38016-1673

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667174400000",
    "number": "1770290777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 FAR DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380161673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 FAR DR",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380161673",
            "telephone_number": "901-652-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMPHIS MEDICAL TRANSPORTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A",
        "authorized_official_last_name": "UDETALLAH",
        "authorized_official_first_name": "OSMAN",
        "authorized_official_title_or_position": "INCORPORATOR",
        "authorized_official_telephone_number": "901-652-1731"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cordova, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.