Genesis Medical Transport

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

A-6411546 Issued in PA

Legal business name

GENESIS MEDICAL TRANSPORT

Practice address

2020 Downyflake Lane, Ste 302B
Allentown, PA 18103

Phone

(800) 811-9007

Fax

(610) 572-1942

NPI assigned

Aug 17, 2010

Last updated

Jun 13, 2016By 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. Fred J. Omwega

Title

General Manager

Phone

(800) 811-9007

Specialties & licenses 1

Addresses

Other names 1

• Genesis Medical Transport Former legal business name

Locations

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

{
    "created_epoch": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1811202658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 1822",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "18016",
            "telephone_number": "800-811-9007",
            "fax_number": "610-572-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 DOWNYFLAKE LANE, STE 302B",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "18103",
            "telephone_number": "800-811-9007",
            "fax_number": "610-572-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "OMWEGA",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "800-811-9007",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "PA",
            "license": "A-6411546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genesis Medical Transport",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Allentown, PA
• Providers in Allentown, PA by specialty
• Non-emergency Medical Transport (VAN) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.