NPIMap

Organization Active NPI

Med Mobile

  • Non-emergency Medical Transport (VAN)
  • Trotwood, OH
National Provider Identifier
1780947473
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
575215 Issued in OH
Legal business name
MED MOBILE
Practice address
100 Prosperity Dr
Trotwood, OH 45426-2600
Phone
(937) 854-1000
Fax
(937) 854-6600
NPI assigned
Jun 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Authorized official

Name
Mr. Michael Perry
Title
Ceo
Phone
(937) 854-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 575215 OH Primary

Addresses

Primary practice location

100 Prosperity Dr
Trotwood, OH 45426-2600

Mailing address

100 Prosperity Dr
Trotwood, OH 45426-2600
Phone (937) 854-1000

National Provider Directory

National Provider Directory
Tax ID family
Med Mobile2 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.

Locations

100 Prosperity Dr
Trotwood, OH 45426
Phone (937) 854-1000

NPI Registry JSON

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

{
    "created_epoch": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1780947473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PROSPERITY DR",
            "city": "TROTWOOD",
            "state": "OH",
            "postal_code": "454262600",
            "telephone_number": "937-854-1000",
            "fax_number": "937-854-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PROSPERITY DR",
            "city": "TROTWOOD",
            "state": "OH",
            "postal_code": "454262600",
            "telephone_number": "937-854-1000",
            "fax_number": "937-854-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED MOBILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-854-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "575215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trotwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; 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.