MED-TRANS CORPORATION (NPI# 1760792246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760792246 |
| Entity Type | Organization |
| Organization Name | MED-TRANS CORPORATION |
| Other Organization Name | LIFE FORCE 4 |
| Practice Address |
482 Mccaysville Industrial Dr Blue Ridge GA 30513 |
| Mailing Address |
Po Box 708 West Plains MO 65775-0708 |
| Practice Telephone | 8772885340 |
| Mailing Telephone | 8772885340 |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2018-09-27 |
| Authorized Official Name | ERIC THOMAS (SVP OF REVENUE MANAGEMENT) |
| Authorized Official Telephone | 8772885340 |
| Is Organization Subpart | Y |
| Parent Organization Name | MED-TRANS CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
Transportation Services |
| Other Name | Type Code |
|---|---|
| Life Force 4 | 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 |
482 MCCAYSVILLE INDUSTRIAL DR |
| City | BLUE RIDGE |
| State | GA |
| Zip Code | 30513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356804561 | Christine Gangwisch | Registered Nurse | 3855 Old Highway 5 Ste 110, Blue Ridge, GA 30513 | 2019-04-13 |
| 1013474659 | Ten Dental LLC | Dentist | 330 Progress Circle Ste C, Blue Ridge, GA 30513 | 2019-03-01 |
| 1932646262 | David Lee Durham | Pharmacist | 5679 Appalachian Highway, Blue Ridge, GA 30513 | 2017-01-25 |
| 1659754398 | Jordan Patton | Ophthalmology | 266 Orvin Lance Dr Ste 5, Blue Ridge, GA 30513 | 2015-06-30 |
| 1063824977 | Christy Russell | Pharmacist | 97 Commerce Drive, Blue Ridge, GA 30513 | 2014-05-27 |
| 1588008429 | Nathan William Kincaid | Surgery | 2855 Old Highway 5 Ste 108, Blue Ridge, GA 30513 | 2013-04-22 |
| 1972800175 | W. Max Couch, Jr., Dds, Mds, LLC | Dentist | 2714 East First Street, Blue Ridge, GA 30513 | 2011-02-24 |
| 1396924791 | Sue Ann Richardson | Chiropractor | 59 Mckinney, Blue Ridge, GA 30513 | 2007-11-01 |
| 1164554432 | Pruitthealth Home First, Inc. | Case Management | 6050 Appalachian Highway, Suite 4, Blue Ridge, GA 30513 | 2007-03-12 |
| 1588793541 | Stacey D Davis | Chiropractor | 351 E Highland St, Suite A, Blue Ridge, GA 30513 | 2007-03-05 |
| Find all providers in zip 30513 | ||||
| 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 |
|---|---|---|---|---|
| 1356980650 | Air Evac Ems, Inc. | Ambulance | 125 Promenade Pkwy, Fayetteville, GA 30214-7712 | 2020-01-03 |
| 1912472796 | Air Evac Ems, Inc. | Ambulance | 1116 Morningside Dr, Perry, GA 31069-2906 | 2018-10-09 |
| 1194247932 | Rocky Mountain Holdings, LLC | Ambulance | 459 John T Lane Rd, Thomson, GA 30824-6739 | 2017-07-13 |
| 1184162943 | Air Evac Ems, Inc. | Ambulance | 131 Britt Waters Rd Nw, Milledgeville, GA 31061-9664 | 2017-02-01 |
| 1730622838 | Air Evac Ems, Inc. | Ambulance | 304 Tifton Eldorado Rd, Tifton, GA 31794-9497 | 2016-11-22 |
| 1194061036 | Med-trans Corporation | Ambulance | 1510 Hangar Rd, Suite A, Augusta, GA 30906-9624 | 2012-12-21 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1063785871 | Rocky Mountain Holdings LLC | Ambulance | 1728 Airport Dr, Ball Ground, GA 30107 | 2012-02-10 |
| 1861778052 | Rocky Mountain Holdings LLC | Ambulance | Bldg 2485, Jecelin St, Fort Benning, GA 31905 | 2011-11-01 |
| 1285919167 | Rocky Mountain Holdings LLC | Ambulance | 1775 Highland Ave, Augusta, GA 30904 | 2011-10-11 |
| Find all providers with the same taxonomy | ||||
| City | BLUE RIDGE |
| Zip Code | 30513 |
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.