Mobile Medical Transport, Incorporated

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

201702101180216 Issued in IN

Legal business name

MOBILE MEDICAL TRANSPORT, INCORPORATED

Practice address

411 Marshall Street
Gary, IN 46404-5041

Phone

(708) 704-2855

NPI assigned

Aug 21, 2018

Organization subpart

No

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

Authorized official

Name

Lillian Moore

Title

President

Phone

(708) 704-2855

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554940800000",
    "number": "1922588755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 MARSHALL STREET",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464045041",
            "telephone_number": "708-704-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 MARSHALL STREET",
            "city": "GARY",
            "state": "IN",
            "postal_code": "464045041",
            "telephone_number": "708-704-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL TRANSPORT, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2019-04-11",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-704-2855"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "IN",
            "license": "201702101180216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Fae Miller, LCSW
• Marion Bernice Miller, RN
• Trevor Miller, MA CCC-SLP
• Mind Empowerment LLC
• Evan Minger, PA-C
• Ieisha Moffett
• Moore & Moore Health Care Services LLC
• John Moore, RES CO-ORD OBPH
• Ryann Janelle Moore, LPN
• Tammarrah Lara'E Morris, MSW, LCSW

• Non-emergency Medical Transport (VAN) in Gary, IN
• Providers in Gary, IN by specialty
• Non-emergency Medical Transport (VAN) in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2019; 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.