Organization Active NPI

Reliant Medical Transportation, LLC

Doing business as Reliant Medical Transport

  • Land Ambulance
  • Jackson, MS
National Provider Identifier
1093251845
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
RELIANT MEDICAL TRANSPORTATION, LLC
Doing business as
Reliant Medical Transport
Practice address
13 Northtown Dr
Suite 130
Jackson, MS 39211-3047
Phone
(601) 487-8993
NPI assigned
Jan 17, 2017
Last updated
Oct 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Authorized official

Name
Mr. Charles W. (Tripp) Francis III
Title
Owner/President
Phone
(601) 573-0075

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

13 Northtown Dr
Suite 130
Jackson, MS 39211-3047

Mailing address

PO Box 9150
Paducah, KY 42002-9150
Phone (270) 744-9600

Other practice location 1

2929 Airways Blvd
Memphis, TN 38132-0001
Phone (901) 842-1385

Other identifiers 3

IdentifierTypeStateIssuer
Q062772MedicaidTN
06972772MedicaidMS
710025000OtherMSDOL

Other names 1

  • Reliant Medical Transport Doing business as

National Provider Directory

National Provider Directory

Locations

13 Northtown Dr
Ste 130
Jackson, MS 39211
Phone (601) 487-8993

2929 Airways Blvd
Memphis, TN 38132
Phone (901) 842-1385

NPI Registry JSON

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1093251845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9150",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420029150",
            "telephone_number": "270-744-9600",
            "fax_number": "270-744-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 NORTHTOWN DR",
            "address_2": "SUITE 130",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392113047",
            "telephone_number": "601-487-8993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2929 Airways Blvd",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "381320001",
            "country_code": "US",
            "telephone_number": "901-842-1385",
            "fax_number": "769-233-8657",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RELIANT MEDICAL TRANSPORTATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2021-10-07",
        "certification_date": "2021-09-23",
        "status": "A",
        "authorized_official_last_name": "FRANCIS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W. (TRIPP)",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "601-573-0075",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q062772",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06972772",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOL",
            "identifier": "710025000",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reliant Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Reliant Medical Transport",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.