Healthcare Provider Details

I. General information

NPI: 1922746429
Provider Name (Legal Business Name): MCCLAIN TRANSPORTATION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2022
Last Update Date: 05/24/2022
Certification Date: 05/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 SCENIC HWY
MEMPHIS TN
38128-5337
US

IV. Provider business mailing address

819 PRALINE ST
MARION AR
72364-5074
US

V. Phone/Fax

Practice location:
  • Phone: 901-361-7195
  • Fax:
Mailing address:
  • Phone: 901-361-7195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: REGINALD MCCLAIN
Title or Position: CEO
Credential:
Phone: 901-361-7195