Healthcare Provider Details
I. General information
NPI: 1487568713
Provider Name (Legal Business Name): CHRISTWAY LOGISTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
425 OLD TOWN CIR
BRANDON MS
39042-3628
US
IV. Provider business mailing address
425 OLD TOWN CIR
BRANDON MS
39042-3628
US
V. Phone/Fax
- Phone: 601-519-7533
- Fax:
- Phone: 601-519-7533
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343800000X |
| Taxonomy | Secured Medical Transport (VAN) |
| License Number | |
| License Number State | NULL |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
ALEXIUS
SIMS
Title or Position: OWNER
Credential:
Phone: 601-519-7533