Active NPI
Medcom Transport
- Non-emergency Medical Transport (VAN)
- Peoria, AZ
National Provider Identifier
1881823458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.