Healthcare Provider Details

I. General information

NPI: 1528802071
Provider Name (Legal Business Name): TOTAL TRANSIT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2024
Last Update Date: 07/10/2024
Certification Date: 07/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1727 35TH AVE
MERIDIAN MS
39301-2824
US

IV. Provider business mailing address

460 SOOKALENA ST
MARION MS
39342-9445
US

V. Phone/Fax

Practice location:
  • Phone: 601-938-2051
  • Fax:
Mailing address:
  • Phone: 601-938-2051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: SHELIA DRAKE
Title or Position: CHIEF
Credential:
Phone: 601-938-2435