MEDICARE: YOUR CHOICE TRANSPORTATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1518799154
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YOUR CHOICE TRANSPORTATION

Provider Business Mailing Address
First Line	:	3707 KNOX RD
Second Line	:
City	:	TOOMSUBA
State	:	MS
Zip	:	39364-9576
Country	:	US
Telephone Number	:	601-745-5777
Fax Number	:

Provider Business Practice Location Address
First Line	:	3707 KNOX RD
Second Line	:
City	:	TOOMSUBA
State	:	MS
Zip	:	39364-9576
Country	:	US
Telephone Number	:	601-745-5777
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KIMBLEY JENKINS
Credential	:
Telephone Number	:	601-745-5777

Provider Enumeration Date	:	08/14/2024
Last Update Date	:	08/14/2024

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Directions to “YOUR CHOICE TRANSPORTATION ” Practice Location

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