Provider Demographics
NPI:1598427775
Name:MED-TRANS CORPORATION
Entity Type:Organization
Organization Name:MED-TRANS CORPORATION
Other - Org Name:AIRSTAR
Other - Org Type:Other Name
Authorized Official - Title/Position:SVP OF REVENUE MANAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-807-9189
Mailing Address - Street 1:PO BOX 708
Mailing Address - Street 2:
Mailing Address - City:WEST PLAINS
Mailing Address - State:MO
Mailing Address - Zip Code:65775-0708
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3440 AIRFIELD DR W
Practice Address - Street 2:
Practice Address - City:LAKELAND
Practice Address - State:FL
Practice Address - Zip Code:33811-1240
Practice Address - Country:US
Practice Address - Phone:877-288-5340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MED-TRANS CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-10-06
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport