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NPI Code Detail

MEDICARE: MID-SOUTH TRANSPORTATION SERVICES

MEDICARE: MID-SOUTH TRANSPORTATION SERVICES
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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1972274983
Entity Type Code : Organization
Provider Name (Legal Business Name) : MID-SOUTH TRANSPORTATION SERVICES
Provider Business Mailing Address
First Line : 4562 NEVIS DR APT 108
Second Line :
City : MEMPHIS
State : TN
Zip : 38125-2999
Country : US
Telephone Number : 901-236-5390
Fax Number :
Provider Business Practice Location Address
First Line : 4562 NEVIS DR APT 108
Second Line :
City : MEMPHIS
State : TN
Zip : 38125-2999
Country : US
Telephone Number : 901-236-5390
Fax Number :
Authorized Official
Title or Position : CEO
Name : JACQUELINE SCOTT
Credential :
Telephone Number : 901-236-5390
Provider Enumeration Date : 09/21/2021
Last Update Date : 09/21/2021

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Directions to “MID-SOUTH TRANSPORTATION SERVICES ” Practice Location

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