PCS MIDSOUTH TRANSPORT LLC (NPI# 1255957361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255957361 |
Entity Type | Organization |
Organization Name | PCS MIDSOUTH TRANSPORT LLC |
Other Organization Name | WALTER BLACK |
Practice Address |
1723 Highway 51 S Ste E Covington TN 38019 |
Mailing Address |
1723 Highway 51 S Ste E Covington TN 38019-3628 |
Practice Telephone | 9013139238 |
Practice Fax Number | 9013139236 |
Mailing Telephone | 9013139238 |
Mailing Fax Number | 9013139236 |
Enumeration Date | 2020-06-24 |
Last Update Date | 2020-06-30 |
Authorized Official Name | WALTER BLACK (MANAGING PRINCIPAL) |
Authorized Official Telephone | 9013139238 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
Other Name | Type Code |
---|---|
Walter Black | Doing Business As Name - Organization |
Street Address |
1723 HIGHWAY 51 S STE E |
City | COVINGTON |
State | TN |
Zip Code | 38019 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972157410 | Deondra Edwards | Nurse Practitioner | 1618 Highway 51, Suites A&b, Covington, TN 38019 | 2019-08-01 |
1609395938 | Lauren Hill | Physician Assistant | 1618 Us 51, Covington, TN 38019 | 2017-09-19 |
1871991398 | Paul W. Hutchison, D.p.m. | Podiatrist | 105-d Mueller Brass Road, Covington, TN 38019 | 2014-12-16 |
1245586874 | Anne Marie Griffin | Nurse Practitioner | 1997 Highway 51 South, Professional Care Services of West Tennessee, Covington, TN 38019 | 2012-08-01 |
1720353782 | Katie Ann Daggett | Physician Assistant | 1618 Us 51 South, Suite A, Covington, TN 38019 | 2012-03-09 |
1245491547 | Amber Richa Hobbs-buchner | Dentist | 720 W. Sherrod Ave, Covington, TN 38019 | 2008-06-19 |
1598970758 | Roger Ganier Jr. | Dentist | 635 Hwy 51 S., Covington, TN 38019 | 2007-05-11 |
1679607923 | West Tennessee Eye | Optometrist | 1999 Hwy 51 South, Suite B, Covington, TN 38019 | 2007-03-16 |
1518017771 | State of Tennessee | Public Health or Welfare | 4700 Mueller Brass Road, Covington, TN 38019 | 2007-01-11 |
1700986601 | Wal-mart Stores East, Lp | Technician/Technologist | 2201 Lanny Bridges Ave., Covington, TN 38019 | 2006-09-22 |
Find all providers in zip 38019 |
Taxonomy Code | 343900000X |
Grouping | Transportation Services |
Classification | Non-emergency Medical Transport (VAN) |
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356906689 | Moving and Caring Transportation LLC | Non-emergency Medical Transport (VAN) | 251 Vintage Drive, Covington, LA 70433 | 2019-05-02 |
1710393319 | Otransit, Inc | Non-emergency Medical Transport (VAN) | 30 Green Gables Dr, Covington, GA 30016-3107 | 2014-07-03 |
1831466754 | Cross Bridge Transit | Non-emergency Medical Transport (VAN) | 404 Creekside Ct, Covington, LA 70435-0581 | 2011-11-21 |
1528268653 | Delta Human Resource Agency | Non-emergency Medical Transport (VAN) | 915 Highway 51 S, Covington, TN 38019-3205 | 2007-07-18 |
1336759133 | Care A Van Express Transportation, LLC | Non-emergency Medical Transport (VAN) | 30 Peaceful Path Ct, Covington, GA 30016-3411 | 2020-08-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164021010 | Trinika Michelle Meredith | Non-emergency Medical Transport (VAN) | 4225 Ambrose Rd, Memphis, TN 38116-6772 | 2020-10-21 |
1215536172 | Community Rescue Medical Trans, LLC | Non-emergency Medical Transport (VAN) | 3340 Poplar Ave Ste 133, Memphis, TN 38111-4638 | 2020-10-21 |
1023625837 | Gg Transportation LLC | Non-emergency Medical Transport (VAN) | 4443 Shawhan Rd, Chattanooga, TN 37411-1716 | 2020-09-25 |
1528674983 | George Beshay | Non-emergency Medical Transport (VAN) | 4814 Old Hickory Blvd, Hermitage, TN 37076-2502 | 2020-09-21 |
1598371569 | Alisha N Hudson | Non-emergency Medical Transport (VAN) | 517 Brown Rd, Chattanooga, TN 37421-3916 | 2020-09-16 |
1427662790 | Reliable Transports LLC | Non-emergency Medical Transport (VAN) | 3078 S Glengarry Rd, Memphis, TN 38128-5138 | 2020-09-03 |
1770197949 | Ali H Nazir | Non-emergency Medical Transport (VAN) | 710 Huntington Pkwy, Nashville, TN 37211-5919 | 2020-09-03 |
1972117604 | Lacey Runit, Inc | Non-emergency Medical Transport (VAN) | 3759 Lakeview Rd, Memphis, TN 38116-3919 | 2020-09-01 |
1932713617 | Dung Nguyen | Non-emergency Medical Transport (VAN) | 601 S Mendenhall Rd, Memphis, TN 38117-4252 | 2020-09-01 |
1669084232 | Black Diamond Transportation, LLC | Non-emergency Medical Transport (VAN) | 1207 Silvery Glade, Smyrna, TN 37167-2687 | 2020-08-17 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.