Active NPI
Stat Medical Transport LLC
- Non-emergency Medical Transport (VAN)
- Springfield, OH
National Provider Identifier
1982179354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0296165 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
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.