Advanced Medical Transport East Inc.

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

ADVANCED MEDICAL TRANSPORT EAST INC.

Doing business as

AMT East

Practice address

408 S Neil St
Champaign, IL 61820-5218

Phone

(309) 999-4049

NPI assigned

Oct 25, 2021

Last updated

Oct 25, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gregory Chance

Title

Ceo

Phone

(217) 679-4192

Specialties & licenses 1

Addresses

Other names 1

• AMT East Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635120000000",
    "number": "1891459079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 N STERLING AVE",
            "city": "WEST PEORIA",
            "state": "IL",
            "postal_code": "616043831",
            "telephone_number": "309-494-6203",
            "fax_number": "309-494-6214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 S NEIL ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618205218",
            "telephone_number": "309-999-4049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MEDICAL TRANSPORT EAST INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-25",
        "last_updated": "2021-10-25",
        "certification_date": "2021-10-25",
        "status": "A",
        "authorized_official_last_name": "CHANCE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-679-4192"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMT East",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patience Okpaku Adesida, MD
• Ghada Adhami, DDS
• Andrew Adiputra
• Advanced Aesthetics Surgery & Laser Center, P.C.
• Advanced Chiropractic and Rehabilitation Center, P.C.
• Audrey K Aeilts
• Affiliates in Oral & Maxillofacial Surgery LTD
• Affinity Dental Champaign LLC (Affinity Family Dental Champaign)
• Affordable Dentistry Today, PC (Affordable Dentistry Today - Champaign)
• Affordable Dentures & Implants - Champaign, P.C.

• Land Ambulance in Champaign, IL
• Providers in Champaign, IL by specialty
• Land Ambulance in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.