{"npi":"1629792767","type":"NPI-2","status":"active","name":{"display":"Medical Transportation Management, Inc.","other":[],"organization_name":"MEDICAL TRANSPORTATION MANAGEMENT, INC.","authorised_official":"Alaina Macia"},"specialty":{"primary_taxonomy":"347E00000X","primary_taxonomy_description":"Transportation Broker","slug":"transportation-broker","schema_org_specialty":null,"all":[{"code":"347E00000X","description":"Transportation Broker","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"16 HAWK RIDGE CIR","city":"LAKE ST LOUIS","state":"MO","postal_code":"633671861","country_code":"US","phone":"6365615686"},{"purpose":"MAILING","street_1":"16 HAWK RIDGE CIR","city":"LAKE ST LOUIS","state":"MO","postal_code":"633671861","country_code":"US","phone":"6365615686"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"659960033","state":"MO","issuer":null}],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2022-10-03","last_updated":"2024-06-24","_meta":{"source":"NPPES","snapshot_date":"2024-06-24","doc_url":"https://findmynpi.com/api"}}