Organization Active NPI

Medcom Transport

  • Non-emergency Medical Transport (VAN)
  • Peoria, AZ
National Provider Identifier
1881823458
Registry record updated Jul 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MEDCOM TRANSPORT
Practice address
9132 W Albert LN
Peoria, AZ 85382-5356
Phone
(623) 980-5090
Fax
(623) 444-9418
NPI assigned
Jul 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2009

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

Authorized official

Name
Mr. Sean Patrick Martin
Title
Owner
Phone
(623) 980-5090

Specialties & licenses 1

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

Addresses

Primary practice location

9132 W Albert LN
Peoria, AZ 85382-5356

Mailing address

9132 W Albert LN
Peoria, AZ 85382-5356
Phone (623) 980-5090

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1246665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246665600000",
    "number": "1881823458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9132 W ALBERT LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825356",
            "telephone_number": "623-980-5090",
            "fax_number": "623-444-9418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9132 W ALBERT LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825356",
            "telephone_number": "623-980-5090",
            "fax_number": "623-444-9418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCOM TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-04",
        "last_updated": "2009-07-04",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "SEAN",
        "authorized_official_middle_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-980-5090",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2009; 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.