# HEALTHONE CRITICAL CARE TRANSPORT SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MedicOne Medical Response
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518181528
- **Authorized official:** JAMES REEVES NREMT-P (PRESIDENT)
- **Authorized official phone:** (866) 999-6339

## Contact information

- **Practice address:** 1131 VETERANS MEMORIAL DR, MOUNT VERNON, IL 62864-6101
- **Practice address phone:** (866) 999-6339
- **Practice address fax:** (866) 215-6089
- **Mailing address:** 14290 GILLIS RD STE A, DALLAS, TX 75244-3724
- **Mailing address phone:** (866) 999-6339
- **Mailing address fax:** (866) 215-6089

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3416L0300X | Land Ambulance | 5005 | IL | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 11/20/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2532033 | BCBS | IL |
| 01 | — | 612312000 | DEPT OF LABOT OWCP | IL |