Organization Active NPI

Creek Medical Transport, Inc.

  • Ambulance
  • Beavercreek, OH
National Provider Identifier
1871994467
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
TF925552 Issued in OH
Legal business name
CREEK MEDICAL TRANSPORT, INC.
Practice address
3563 Queen Victoria CT
Beavercreek, OH 45431-5707
Phone
(937) 286-8482
NPI assigned
Sep 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Authorized official

Name
Mr. Kevin Clay McClamma
Title
Owner
Phone
(937) 286-8482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X TF925552 OH Primary

Addresses

Primary practice location

3563 Queen Victoria CT
Beavercreek, OH 45431-5707

Mailing address

3563 Queen Victoria Court
Beavercreek, OH 45431
Phone (937) 286-8482

Other names 1

  • CMT, INC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1871994467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3563 QUEEN VICTORIA COURT",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "45431",
            "telephone_number": "937-286-8482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3563 QUEEN VICTORIA CT",
            "city": "BEAVERCREEK",
            "state": "OH",
            "postal_code": "454315707",
            "telephone_number": "937-286-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREEK MEDICAL TRANSPORT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "MCCLAMMA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "CLAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-286-8482",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "OH",
            "license": "TF925552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMT, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Beavercreek, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.