US Land Cruiser Non Profit Public Trans., Inc.

Primary specialty

DriverTaxonomy code 172A00000X

Legal business name

US LAND CRUISER NON PROFIT PUBLIC TRANS., INC.

Practice address

3004 Cliff Gookin Blvd
Suite B
Tupelo, MS 38801-7005

Phone

(662) 840-9484

Fax

(662) 840-5884

NPI assigned

Oct 21, 2008

Last updated

Oct 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. James Howard Pulliam

Title

President

Phone

(662) 840-9484

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1205088259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 SUNSET DR",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388012222",
            "telephone_number": "662-840-9484",
            "fax_number": "662-840-5884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3004 CLIFF GOOKIN BLVD",
            "address_2": "SUITE B",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388017005",
            "telephone_number": "662-840-9484",
            "fax_number": "662-840-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "US LAND CRUISER NON PROFIT PUBLIC TRANS., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "PULLIAM",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-840-9484",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08526865",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.