Healthcare Provider Details

I. General information

NPI: 1851984298
Provider Name (Legal Business Name): MED-TRANS CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2021
Last Update Date: 03/31/2021
Certification Date: 03/31/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 AIRPORT RD HNGR E-1
MATTAPONI VA
23110-2103
US

IV. Provider business mailing address

PO BOX 708
WEST PLAINS MO
65775-0708
US

V. Phone/Fax

Practice location:
  • Phone: 877-288-5340
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number
License Number State

VIII. Authorized Official

Name: ERIC THOMAS
Title or Position: SVP OF REVENUE MANAGEMENT
Credential:
Phone: 877-288-5340