MED-TRANS CORPORATION (NPI# 1396761516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396761516 |
| Entity Type | Organization |
| Organization Name | MED-TRANS CORPORATION |
| Other Organization Name | ARIZONA LIFELINE I |
| Practice Address |
675 E First Ave Saint David AZ 85630-6230 |
| Mailing Address |
Po Box 708 West Plains MO 65775-0708 |
| Practice Telephone | 8772885340 |
| Mailing Telephone | 8772885340 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2018-09-27 |
| Authorized Official Name | ERIC THOMAS (SVP OF REVENUE MANAGEMENT) |
| Authorized Official Telephone | 8772885340 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
Transportation Services |
| Other Name | Type Code |
|---|---|
| Arizona LifeLine I | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780205591 | Med-trans Corporation | Ambulance | 7101 Jahnke Rd Ste 580, Richmond, VA 23225-4017 | 2020-05-04 |
| 1487280509 | Med-trans Corporation | Ambulance | 8901 Airway Blvd, New Port Richey, FL 34654-5101 | 2020-03-20 |
| 1144856402 | Med-trans Corporation | Ambulance | 2535 Rescue Way, Brooksville, FL 34604-6996 | 2020-03-19 |
| 1235762725 | Med-trans Corporation | Ambulance | 2411a Highway 11 S, Meridian, MS 39307-9562 | 2020-02-13 |
| 1861022766 | Med-trans Corporation | Ambulance | 1910 Airport Rd, Columbus, MS 39701-9574 | 2020-01-20 |
| 1023657038 | Med-trans Corporation | Ambulance | 2721 Ne Douglas St, Lee's Summit, MO 64064-2210 | 2019-12-23 |
| 1558923177 | Med-trans Corporation | Ambulance | 8926 Hangar Rd, San Angelo, TX 76904-4071 | 2019-07-03 |
| 1053873620 | Med-trans Corporation | Ambulance | 716 Tilghman Dr, Dunn, NC 28334 | 2019-04-03 |
| 1396218855 | Med-trans Corporation | Ambulance | 411 Medical Park Dr, Atmore, AL 36502-3006 | 2019-01-08 |
| 1427532951 | Med-trans Corporation | Ambulance | 540 Airport Rd, Junction City, KS 66441-4725 | 2018-09-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Med-Trans Corporation | 209 State Highway 121 Byp Ste 21, Lewisville, Texas 75067-4231 |
| System for Award Management (SAM) Entities | MED-TRANS CORPORATION | 209 State Highway 121 Byp, Lewisville, TX 75067-4151 |
| Colorado Business Entities | Med-Trans Corporation | 209 State Highway 121 Bypass, Suite 21, Lewisville, TX 75067 |
| Iowa Business Entities | MED-TRANS CORPORATION | 209 State Highway 121, Suite 21, Lewisville, TX 75067 |
| North Carolina Corporations | MED-TRANS CORPORATION | 106 West Jefferson St, Monroe, NC 28112 |
| Connecticut Business Registrations | MED-TRANS CORPORATION | 2200 Westcourt Road, Denton, TX 76207 |
| New York State Corporations | MED-TRANS CORPORATION | 80 State Street, Albany, New York 12207-2543 |
| Oregon Corporations, Companies and Business Names | MED-TRANS CORPORATION, A CORPORATION OF NORTH DAKOTA | 209 State Highway 121 Bypass, Ste 21, Lewisville, TX 75067 |
| Street Address |
675 E FIRST AVE |
| City | SAINT DAVID |
| State | AZ |
| Zip Code | 85630-6230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144832874 | Lorraine K Merrill | Registered Nurse | 124 E Thomas, Saint David, AZ 85630 | 2020-08-24 |
| 1063661247 | Melanie Larson | Registered Nurse | 70 Patton Hwy, St. David, AZ 85630 | 2008-09-12 |
| 1609045855 | Donald R Preston | Dentist | 249 Sibyl Rd, St David, AZ 85630 | 2008-02-21 |
| 1477609212 | Jonathan Scott Richeson | Speech-Language Pathologist | 440 N Mark St, Saint David, AZ 85630-0334 | 2007-01-26 |
| 1154726792 | Ronald Higginbotham | Specialist/Technologist | 433 N Sibyl Rd, Saint David, AZ 85630-6115 | 2014-10-24 |
| 1124168943 | James Braden Davis | Psychologist | 338 W Merrill Dr, Saint David, AZ 85630-6147 | 2007-02-08 |
| 1356587406 | Manuela Ramirez | Respite Care | 37 N Mcrae Ln, Saint David, AZ 85630-6173 | 2008-12-19 |
| 1073661674 | Greg L Avery | Speech-Language Pathologist | 70 E Patton St, Saint David, AZ 85630-6207 | 2007-01-08 |
| 1902009012 | Patsy M Thomas | Registered Nurse | 70 E Patton St, Saint David, AZ 85630-6207 | 2007-06-06 |
| 1356480651 | Mark Lloyd Brown | Counselor | 70 E Patton St, Saint David, AZ 85630-6207 | 2007-02-05 |
| Find all providers in zip 85630 | ||||
| Taxonomy Code | 3416A0800X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Air Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952966087 | Rocky Mountain Holdings, LLC | Ambulance | 2755 Silvercreek Road, Bullhead City, AZ 86442-7904 | 2019-05-03 |
| 1588123673 | Guardian Flight LLC | Ambulance | 905 W Airport Rd, Springerville, AZ 85938-5015 | 2019-03-18 |
| 1043779135 | Guardian Flight LLC | Ambulance | 4500 E Aviation Way, Safford, AZ 85546-9479 | 2019-03-18 |
| 1407314784 | Rocky Mountain Holdings, LLC | Ambulance | 5880 Flightline Dr, Kingman, AZ 86401-6842 | 2019-03-06 |
| 1730646852 | Rocky Mountain Holdings, LLC | Ambulance | 3535 S Fortuna Ave, Yuma, AZ 85365-4207 | 2019-02-25 |
| 1114490836 | Ponderosa Aviation, Inc | Ambulance | 4500 Aviation Way, Safford, AZ 85546 | 2019-01-04 |
| 1912486275 | Guardian Flight LLC | Ambulance | 3151 E Airport Loop Ste 1, Show Low, AZ 85901-9583 | 2018-08-08 |
| 1952808230 | Med-trans Corporation | Ambulance | 1215 N Ivy Loop Ste 2, Casa Grande, AZ 85122-5406 | 2018-04-12 |
| 1093232258 | Guardian Flight LLC | Ambulance | Cvs Space 31, Us 191, Chinle, AZ 86503 | 2017-08-28 |
| 1285151506 | Guardian Flight LLC | Ambulance | Cvs Space 32, Us 191, Chinle, AZ 86503 | 2017-08-28 |
| Find all providers with the same taxonomy | ||||
| City | SAINT DAVID |
| Zip Code | 85630 |
Please comment or provide details below to improve the information on MED-TRANS CORPORATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.