Healthcare Provider Details

I. General information

NPI: 1699411041
Provider Name (Legal Business Name): U MATTER TRANSPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2022
Last Update Date: 05/14/2022
Certification Date: 05/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6551 FRANKLIN D ROOSEVELT DR
JACKSON MS
39213-2116
US

IV. Provider business mailing address

PO BOX 341
TERRY MS
39170-0341
US

V. Phone/Fax

Practice location:
  • Phone: 601-850-7800
  • Fax:
Mailing address:
  • Phone: 601-850-7800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. FRANKLIN B WINFIELD
Title or Position: OWNER
Credential:
Phone: 601-850-7800