Organization Active NPI

Medi Med Transportation

  • Non-emergency Medical Transport (VAN)
  • Las Vegas, NV
National Provider Identifier
1942060181
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MEDI MED TRANSPORTATION
Practice address
2820 Lakecrest Dr
Las Vegas, NV 89128-6921
Phone
(702) 353-1079
NPI assigned
Mar 21, 2024
Last updated
Mar 21, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
GLORY HALLELUJAH LOGISTICS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Frederick DoddNPI 1073200507
Title
Executive Director
Phone
(702) 353-1079

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2820 Lakecrest Dr
Las Vegas, NV 89128-6921

Mailing address

2820 Lakecrest Dr
Las Vegas, NV 89128-6921
Phone (702) 353-1079

National Provider Directory

National Provider Directory
Part of
Medi Med Transportation

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1942060181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 LAKECREST DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891286921",
            "telephone_number": "702-353-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 LAKECREST DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891286921",
            "telephone_number": "702-353-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDI MED TRANSPORTATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GLORY HALLELUJAH LOGISTICS LLC",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "DODD",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "702-353-1079"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.