Medex Medical Transport Service, Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1752 Issued in NC

Legal business name

MEDEX MEDICAL TRANSPORT SERVICE, INC.

Practice address

805 Washington St
Williamston, NC 27892-2649

Phone

(252) 332-4555

NPI assigned

May 9, 2013

Organization subpart

No

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

Authorized official

Name

Melody June Greene

Title

Director

Phone

(252) 332-4555

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Medex Medical Transport Service, Inc

  • Land Ambulance
  • Ahoskie, NC
  • NPI 1467774018

  O20100818000079

  Same enrollment
• Medex Medical Transport Service, Inc

  • Land Ambulance
  • Augusta, GA
  • NPI 1548605025

  O20100818000079

  Same enrollment

Locations

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

{
    "created_epoch": "1368057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379635200000",
    "number": "1821433301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 506",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279100506",
            "telephone_number": "252-332-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 WASHINGTON ST",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922649",
            "telephone_number": "252-332-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEX MEDICAL TRANSPORT SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-09",
        "last_updated": "2013-09-20",
        "status": "A",
        "authorized_official_last_name": "GREENE",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-332-4555"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NC",
            "license": "1752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Aaron Mayo, MD
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• Katherine McNeese, M.D.
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• Robert Coleman Mills Jr., OD

• Land Ambulance in Williamston, NC
• Providers in Williamston, NC by specialty
• Land Ambulance in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.