M1 MED CAR (NPI# 1447784657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447784657 |
| Entity Type | Organization |
| Organization Name | M1 MED CAR |
| Practice Address |
137 Saint Robert Dr Cahokia IL 62206-1840 |
| Practice Telephone | 6185093427 |
| Mailing Telephone | 6185093427 |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |
| Authorized Official Name | MARLON BRADLEY MASON SR. (MEDICAL TRANSPORTATION SERVICE) |
| Authorized Official Telephone | 6185093427 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | M250-5426-8284 | IL | Transportation Services |
| Street Address |
137 SAINT ROBERT DR |
| City | CAHOKIA |
| State | IL |
| Zip Code | 62206-1840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225015456 | William H Thom | Anesthesiology | 12 Wolf Creek, Suite 200, Swansea, IL 62206 | 2005-12-29 |
| 1891784823 | Steven G Connors | Chiropractor | 1518 Camp Jackson Rd, Cahokia, IL 62206 | 2005-10-21 |
| 1558661454 | David J Cruse Jr. | Pharmacist | 1615 Camp Jackson Rd, Cahokia, IL 62206 | 2010-10-25 |
| 1477866671 | Ca Group LLC | Internal Medicine | 4043 Mississippi Ave, Cahokia, IL 62206-1041 | 2010-07-16 |
| 1396871794 | Cahokia Pharmacy Inc | Pharmacy | 817 Upper Cahokia Rd, Cahokia, IL 62206-1211 | 2007-02-27 |
| 1578629945 | Rosa M. Prouhet | Registered Nurse | 818 Upper Cahokia Rd, Cahokia, IL 62206-1212 | 2006-12-29 |
| 1518391739 | Sarah Rahman | Physician Assistant | 818 Upper Cahokia Rd, Cahokia, IL 62206-1212 | 2013-08-23 |
| 1902963028 | Southern Illinois Healthcare Foundation, Inc. | Nurse Practitioner | 818 Upper Cahokia Rd, Cahokia, IL 62206-1212 | 2007-01-02 |
| 1427114891 | Southern Illinois Healthcare Foundation, Inc. | Family Medicine | 818 Upper Cahokia Rd, Cahokia, IL 62206-1212 | 2006-12-29 |
| 1649797838 | Marcia Ann Young | Behavior Technician | 17 Kinder St, Cahokia, IL 62206-1334 | 2017-08-28 |
| Find all providers in zip 62206 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073090403 | Latonia D Parker | Non-emergency Medical Transport (VAN) | 20 Fox Meadow Ln, Cahokia, IL 62206-2503 | 2018-07-27 |
| 1457820730 | Medicate Transportation Inc | Non-emergency Medical Transport (VAN) | 911 Water St, Cahokia, IL 62206-1614 | 2018-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619426 | Smart Port Care LLC | Non-emergency Medical Transport (VAN) | 152 S 5000w Rd, Kankakee, IL 60901-7902 | 2020-11-03 |
| 1386244721 | Philip Anipah | Non-emergency Medical Transport (VAN) | 7440 Tennessee Dr Apt 211, Willowbrook, IL 60527-2390 | 2020-10-26 |
| 1720687080 | Leron Hargrove-head | Non-emergency Medical Transport (VAN) | 16819 Glen Oaks Dr, Country Club Hills, IL 60478-2147 | 2020-10-19 |
| 1861090045 | Kind Care Illinois | Non-emergency Medical Transport (VAN) | 1617 Westminster Dr Apt 203, Naperville, IL 60563-9226 | 2020-10-11 |
| 1194332213 | Community Medical Transport Ltd | Non-emergency Medical Transport (VAN) | 534 16th St Ste C, Rock Island, IL 61201-8635 | 2020-09-24 |
| 1366058042 | Mary Oluwakemi Adedeji | Non-emergency Medical Transport (VAN) | 409 Carey Ct, Chicago Heights, IL 60411-1646 | 2020-09-18 |
| 1417568577 | Henry Oa Darko | Non-emergency Medical Transport (VAN) | 1830 Carl Dr, Round Lake Beach, IL 60073-1394 | 2020-08-12 |
| 1649881962 | Neneme LLC | Non-emergency Medical Transport (VAN) | 6201 Smokey Ridge Dr, Plainfield, IL 60586-5563 | 2020-08-11 |
| 1023627395 | Impact Medical Transport | Non-emergency Medical Transport (VAN) | 915 Il-106, Barry, IL 62312 | 2020-07-23 |
| 1336767086 | Tawanna Henry | Non-emergency Medical Transport (VAN) | 1755 E 72nd Pl Apt 2, Chicago, IL 60649-2839 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
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| 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.