IMPACT MEDICAL TRANSPORT (NPI# 1023627395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023627395 |
| Entity Type | Organization |
| Organization Name | IMPACT MEDICAL TRANSPORT |
| Practice Address |
915 Il-106 Barry IL 62312 |
| Mailing Address |
1067 Mason St Barry IL 62312-1134 |
| Practice Telephone | 2176173024 |
| Practice Fax Number | 2179190719 |
| Mailing Telephone | 2176173024 |
| Mailing Fax Number | 2179190719 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | JAY ALBERT (PARAMEDIC/OWNER) |
| Authorized Official Telephone | 2176173024 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| Y | 341600000X | Ambulance | Transportation Services |
| Street Address |
915 IL-106 |
| City | BARRY |
| State | IL |
| Zip Code | 62312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982114708 | Spot Providers | Speech-Language Pathologist | 6 Orchard Dr, Barry, IL 62312 | 2017-10-06 |
| 1548462005 | Barry Comm Unit School Dist 1 | Local Education Agency (LEA) | 401 Mcdonough St, Barry, IL 62312-1031 | 2007-06-05 |
| 1104095199 | Western Comm Unit Sch Dist 12 | Local Education Agency (LEA) | 401 Mcdonough St, Barry, IL 62312-1031 | 2008-02-25 |
| 1679892293 | Christine Ann Nation | Speech-Language Pathologist | 200 Mcdonough St, Barry, IL 62312-1065 | 2010-05-21 |
| 1437759701 | Dianna Michelle Castleberry | Peer Specialist | 1166 Mason St, Barry, IL 62312-1137 | 2020-10-27 |
| 1700278934 | Pharmacy Plus, Inc | Pharmacy | 693 Bainbridge St, Barry, IL 62312-1203 | 2015-02-25 |
| 1124009329 | Stephen T Liesen | Dentist | 750 Mortimer St, Barry, IL 62312-1247 | 2005-11-07 |
| 1447597950 | Brett R Schafer | Dentist | 750 Mortimer St, Barry, IL 62312-1247 | 2013-01-04 |
| 1174794028 | Barry Dental Clinic | Dentist | 750 Mortimer St, Barry, IL 62312-1247 | 2008-03-19 |
| 1184697476 | Korhan B Raif | Internal Medicine | 868 Mortimer St, Barry, IL 62312-1249 | 2006-02-08 |
| Find all providers in zip 62312 | ||||
| Taxonomy Code | 341600000X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| An emergency vehicle used for transporting patients to a health care facility after injury or illness. Types of ambulances used in the United States include ground (surface) ambulance, rotor-wing (helicopter), and fixed-wing aircraft (airplane). |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 37. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750980058 | Ivan V Knight | Ambulance | 322 Campbell Ave, Calumet City, IL 60409-2011 | 2020-10-19 |
| 1366064057 | Morris Fire & Ambulance Protection District | Ambulance | 2301 Ashton Rd, Morris, IL 60450-8615 | 2020-05-15 |
| 1821624966 | Covenant Health Ambulance Service, Inc | Ambulance | 1619b Weid Rd, Elgin, IL 60123-5825 | 2020-03-20 |
| 1053942920 | Village of Robbins | Ambulance | 3327 W 137th Street, Robbins, IL 60472-1636 | 2020-01-30 |
| 1093372187 | Vital Ambulance Services LLC | Ambulance | 18781 90th Ave., Suite A, Mokena, IL 60448 | 2019-05-23 |
| 1831668458 | Midway Ems | Ambulance | 5155 Torque Rd # B, Loves Park, IL 61111-7144 | 2018-11-14 |
| 1336637248 | Paramedic Services of Illinois, Inc. | Ambulance | 1222 W. Veterans Parkway, Yorkville, IL 60560-4728 | 2018-04-26 |
| 1255832564 | Lifeguard Ambulance Service of Illinois Inc. | Ambulance | 219 W Jackson St, Macomb, IL 61455 | 2018-02-22 |
| 1891293288 | Hamel Fire Protection District | Ambulance | 401 N Old Us Route 66, Hamel, IL 62046-1071 | 2018-01-31 |
| 1144761503 | Ah, LLC | Ambulance | 741 N Main St, Manteno, IL 60950-1254 | 2017-03-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on IMPACT MEDICAL TRANSPORT.
| 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.