OMNI MEDICAL TRANSPORT LLC (NPI# 1659782803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659782803 |
Entity Type | Organization |
Organization Name | OMNI MEDICAL TRANSPORT LLC |
Practice Address |
10111 Cameron Ridge Trl Cordova TN 38016-7184 |
Practice Telephone | 9016795366 |
Mailing Telephone | 9016795366 |
Enumeration Date | 2014-05-09 |
Last Update Date | 2014-05-09 |
Authorized Official Name | MR. LESTER LEON RUSSELL (DIRECTOR/OWNER) |
Authorized Official Telephone | 9016795366 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
10179 | TN | Transportation Services |
Street Address |
10111 CAMERON RIDGE TRL |
City | CORDOVA |
State | TN |
Zip Code | 38016-7184 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598176745 | Lester Leon Russell | Emergency Medical Technician, Paramedic | 10111 Cameron Ridge Trl, Cordova, TN 38016-7184 | 2014-05-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548886872 | Megan Scott Bolton | Physical Therapist | 8110 Cordova Road Suite 107, Cordova, TN 38016 | 2020-06-23 |
1477195451 | Jacqueline Reeves Thomas | Counselor | Memphis Veterans Affairs Medical Center (vamc), 1030 Jefferson Ave, Memphis, TN 38016 | 2019-10-11 |
1376195842 | Robert Cody Heismann | Physical Therapist | 8110 Cordova Rd, Ste 107, Cordova, TN 38016 | 2019-07-15 |
1881189702 | Carolyn Bean | Home Health Aide | 1786 Beaver Trail Dr, Cordova, TN 38016 | 2018-06-22 |
1255776886 | Suzanne Elaine Baker | Family Medicine | 2257 North Germantown Parkway, Memphis, TN 38016 | 2013-05-09 |
1487806683 | Janet Lee Ferrell | Counselor | 1340 Siskin Drive, Cordova, TN 38016 | 2008-10-21 |
1114186624 | Rebecca L Bills | Optometrist | 1795 N Germantown Pkwy, Cordova, TN 38016 | 2008-06-09 |
1679784128 | Linda Kay Yates | Emergency Medicine | 1401 Dexter Lane, Cordova, TN 38016 | 2007-05-25 |
1417168386 | Healthquest | Psychiatry & Neurology | 58 Timber Creek, Cordova, TN 38016 | 2007-05-24 |
1114079795 | Barbara T Henking | Psychologist | 8134 Country Village, #102, Cordova, TN 38016 | 2007-01-17 |
Find all providers in zip 38016 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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1215035787 | Cordova Community Hospital | Ambulance | 602 Chase Ave, Cordova, AK 99574-0160 | 2006-09-20 |
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1083158570 | Shelby County Government | Ambulance | 1075 Mullins Station Rd, Bldg. C, 2nd Floor, Memphis, TN 38134-7730 | 2016-12-19 |
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1851844633 | Med Transport Memphis, LLC | Ambulance | 1005 Tillman St Ste 213, Memphis, TN 38112-2038 | 2016-07-28 |
Find all providers with the same taxonomy |
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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.