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1619922689 NPI number — TRANSMED, LLC

NPI Number: 1619922689
Health Care Provider/Practitioner: TRANSMED, LLC

Information about “1619922689” NPI (TRANSMED, LLC) exists in 1619922689 in HTML format HTML  |  1619922689 in plain Text format TXT  |  1619922689 in PDF (Portable Document Format) PDF  |  1619922689 in an XML format XML  formats.

NPI Number : 1619922689 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1619922689",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "TRANSMED, LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 538335",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ATLANTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30353-8335",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "866-343-7153",
    "MailingAddressFaxNumber": "757-787-9436",
    "FirstLinePracticeLocationAddress": "201 DAYTONA ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CONWAY",
    "PracticeLocationAddressStateName": "SC",
    "PracticeLocationAddressPostalCode": "29526-8386",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "866-343-7153",
    "PracticeLocationAddressFaxNumber": "757-787-9436",
    "EnumerationDate": "05/24/2006",
    "LastUpdateDate": "12/06/2012",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "ELLIS",
    "AuthorizedOfficialFirstName": "MATTHEW",
    "AuthorizedOfficialMiddleName": "T",
    "AuthorizedOfficialTitle": "AR MGR.",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "866-343-7153",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "3416L0300X",
        "TaxonomyName": "Land Ambulance",
        "LicenseNumber": "225",
        "LicenseNumberStateCode": "SC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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