Organization Active NPI

Medix Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Beaumont, TX
National Provider Identifier
1841474855
Registry record updated Dec 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MEDIX TRANSPORTATION LLC
Practice address
2605 N 10TH St
Beaumont, TX 77703-4907
Phone
(409) 659-5497
NPI assigned
Dec 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2007

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

Authorized official

Name
Tiffany Green Derry
Title
Member
Phone
(409) 659-5497

Specialties & licenses 1

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

Addresses

Primary practice location

2605 N 10TH St
Beaumont, TX 77703-4907

Mailing address

2605 N 10TH
Beaumont, TX 77703-3844

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1841474855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2605 N 10TH",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777033844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 N 10TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777034907",
            "telephone_number": "409-659-5497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIX TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "DERRY",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "GREEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "409-659-5497"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.