MEDICARE: HOLMES TOURS AND TRANSPORTATION INC

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)	4645	MS

General Provider Information

NPI Number	:	1366697120
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLMES TOURS AND TRANSPORTATION INC

Provider Business Mailing Address
First Line	:	2798 LAKE LOWNDES RD
Second Line	:
City	:	COLUMBUS
State	:	MS
Zip	:	39702-9215
Country	:	US
Telephone Number	:	187-751-3320
Fax Number	:	662-240-8933

Provider Business Practice Location Address
First Line	:	2798 LAKE LOWNDES RD
Second Line	:
City	:	COLUMBUS
State	:	MS
Zip	:	39702-9215
Country	:	US
Telephone Number	:	187-751-3320
Fax Number	:	662-240-8933

Authorized Official
Title or Position	:	CEO
Name	:	MR. ADAM HOLMES
Credential	:
Telephone Number	:	662-425-6558

Provider Enumeration Date	:	11/20/2008
Last Update Date	:	11/20/2008

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