South Central Community Action Agency, Inc

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

SOUTH CENTRAL COMMUNITY ACTION AGENCY, INC

Practice address

3891 I-55 South Frontage Rd
Jackson, MS 39212

Phone

(769) 235-8224

Fax

(769) 251-1017

NPI assigned

May 4, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Sheletta Buckley

Title

Director

Phone

(769) 235-8224

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1013406172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6590",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392826590",
            "telephone_number": "769-235-8224",
            "fax_number": "769-251-1017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3891 I-55 SOUTH FRONTAGE RD",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39212",
            "telephone_number": "769-235-8224",
            "fax_number": "769-251-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH CENTRAL COMMUNITY ACTION AGENCY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "BUCKLEY",
        "authorized_official_first_name": "SHELETTA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "769-235-8224",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonny Montgomer Vamc
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• Mary Louise Sorey, M.S.,CCC-SLP
• Tina Renee Sorey, O.D.
• South Jackson Family Dental, PLLC
• Southeast Urogyn LLC
• Southeast Urogynecology PA
• Southern Christian Services for Children and Youth, Inc.
• Southern Counseling Center

• Non-emergency Medical Transport (VAN) in Jackson, MS
• Providers in Jackson, MS by specialty
• Non-emergency Medical Transport (VAN) in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.