Organization Active NPI

Stat Medical Transport LLC

  • Non-emergency Medical Transport (VAN)
  • Springfield, OH
National Provider Identifier
1982179354
Registry record updated Oct 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
STAT MEDICAL TRANSPORT LLC
Practice address
950 W Leffel LN
Springfield, OH 45506-3538
Phone
(937) 207-8017
NPI assigned
Oct 11, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2018

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

Authorized official

Name
Mr. Doug S Acles
Title
Owner
Phone
(937) 207-8017

Specialties & licenses 1

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

Addresses

Primary practice location

950 W Leffel LN
Springfield, OH 45506-3538

Mailing address

950 W Leffel LN
Springfield, OH 45506-3538
Phone (937) 207-8017

Other identifiers 1

IdentifierTypeStateIssuer
0296165MedicaidOH

National Provider Directory

National Provider Directory

Locations

950 W Leffel Ln
Springfield, OH 45506
Phone (937) 207-8017

NPI Registry JSON

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1982179354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 W LEFFEL LN",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455063538",
            "telephone_number": "937-207-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W LEFFEL LN",
            "city": "SPRINGFIELD",
            "state": "OH",
            "postal_code": "455063538",
            "telephone_number": "937-207-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAT MEDICAL TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "ACLES",
        "authorized_official_first_name": "DOUG",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-207-8017",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0296165",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, OH

Sources for this page

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