Organization · Type 2 NPI

Med-Trans Corporation

Air Ambulance · Jacksboro, TN

NPI number 1083868517 Active

Practice location

588 Memorial Lane
Jacksboro, TN 37757-0000

Call (877) 288-5340 Map

Mailing address

PO Box 708
West Plains, MO 65775-0708

Specialties and licenses

Taxonomy	Code	License
Air Ambulance Primary	3416A0800X	None listed

Air Ambulance: Definition to come...

NPI record

NPI: 1083868517
Entity type: Organization (Type 2)
Issued: Nov 11, 2008
Last updated: Sep 27, 2018
Status: Active
Subpart: Yes of Med-Trans Corporation

Other names

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Ut Lifestar 4 · other name
Ut Lifestar 4 · other name

Authorized official

Eric Thomas
SVP of Revenue Management
(877) 288-5340

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083868517

Med-Trans Corporation's National Provider Identifier is 1083868517, issued on Nov 11, 2008. The primary taxonomy on file is Air Ambulance (3416A0800X), and the practice location is in Jacksboro, TN. The record was last updated on Sep 27, 2018.