MEDICARE: FARRIS'S TRANSPOT 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)

General Provider Information

NPI Number	:	1639865165
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FARRIS'S TRANSPOT INC.

Provider Business Mailing Address
First Line	:	2221 HIGHWAY 68
Second Line	:
City	:	JACKSON
State	:	LA
Zip	:	70748-4134
Country	:	US
Telephone Number	:	225-245-2381
Fax Number	:

Provider Business Practice Location Address
First Line	:	2221 HIGHWAY 68
Second Line	:
City	:	JACKSON
State	:	LA
Zip	:	70748-4134
Country	:	US
Telephone Number	:	225-245-2381
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	BRITTANY ANDERSON FARRIS
Credential	:
Telephone Number	:	225-245-2381

Provider Enumeration Date	:	04/17/2023
Last Update Date	:	05/01/2023

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