NPIMap

Organization Active NPI

Olive Branch Non-Emergency Medical Transportation

Doing business as Olive Branch Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Conshohocken, PA
National Provider Identifier
1902399611
Registry record updated Jun 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
730434 Issued in PA
Legal business name
OLIVE BRANCH NON-EMERGENCY MEDICAL TRANSPORTATION
Doing business as
Olive Branch Transportation LLC
Practice address
1300 Fayette St Apt 199
Conshohocken, PA 19428-1360
Phone
(267) 475-9861
NPI assigned
Jun 8, 2018
Last updated
Jun 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2018

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

Authorized official

Name
Mr. Robert Kennedy
Title
Owner
Phone
(267) 475-9861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 730434 PA Primary

Addresses

Primary practice location

1300 Fayette St Apt 199
Conshohocken, PA 19428-1360

Mailing address

1300 Fayette St Apt 199
Conshohocken, PA 19428-1360
Phone (267) 475-9861

Other names 1

  • Olive Branch Transportation LLC 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": "1528416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528416000000",
    "number": "1902399611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 FAYETTE ST APT 199",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281360",
            "telephone_number": "267-475-9861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 FAYETTE ST APT 199",
            "city": "CONSHOHOCKEN",
            "state": "PA",
            "postal_code": "194281360",
            "telephone_number": "267-475-9861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLIVE BRANCH NON-EMERGENCY MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-08",
        "last_updated": "2018-06-08",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-475-9861",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "PA",
            "license": "730434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Olive Branch Transportation LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conshohocken, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2018; 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.