Mediport LLC

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

MEDIPORT LLC

Practice address

14 Roland Rd
Weymouth, MA 02190-1023

Phone

(508) 283-0579

NPI assigned

Oct 14, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Charles Frank Vaughn Jr.

Title

Owner

Phone

(857) 333-7227

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1932503331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 PARK ST",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023015220",
            "telephone_number": "857-333-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 ROLAND RD",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021901023",
            "telephone_number": "508-283-0579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-14",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "857-333-7227",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Secured Medical Transport (VAN) in Weymouth, MA
• Providers in Weymouth, MA by specialty
• Secured Medical Transport (VAN) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; 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.