Active NPI
Creek Medical Transport, Inc.
- Ambulance
- Beavercreek, OH
National Provider Identifier
1871994467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- TF925552
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.