Mid-Maryland Medical Transport LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

MID-MARYLAND MEDICAL TRANSPORT LLC

Practice address

930 Eldridge Dr
Hagerstown, MD 21740-6859

Phone

(301) 733-6655

Fax

(301) 733-4229

NPI assigned

Sep 23, 2005

Organization subpart

No

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

Authorized official

Name

Mr. M Frank Heisey

Title

Secretary

Phone

(540) 536-5260

Specialties & licenses 1

Addresses

Other identifiers 9

Locations

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1871589937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1910",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226048060",
            "telephone_number": "866-553-4220",
            "fax_number": "540-536-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 ELDRIDGE DR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217406859",
            "telephone_number": "301-733-6655",
            "fax_number": "301-733-4229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-MARYLAND MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "HEISEY",
        "authorized_official_first_name": "M",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "540-536-5260",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015107600",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIGO",
            "identifier": "385544",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA CHOICE",
            "identifier": "7667189",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "590014790",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA MEDICAID",
            "identifier": "90142127",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA BLUE BELL HMO",
            "identifier": "2473443",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS MARYLAND",
            "identifier": "TR68MI",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800301700",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "2110905",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Land Ambulance in Hagerstown, MD
• Providers in Hagerstown, MD by specialty
• Land Ambulance in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.