Active NPI
Reliableprox
- Non-emergency Medical Transport (VAN)
- Canton, MS
National Provider Identifier
1245007053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- RELIABLEPROX
- Practice address
- 103 Chartleigh Cir
Canton, MS 39046-1210 - Phone
- (601) 503-5717
- NPI assigned
- Dec 11, 2023
- Last updated
- Dec 11, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chris Montrel Fairman
- Title
- Owner
- Phone
- (601) 503-5717
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | NU | Primary |
Addresses
Primary practice location
103 Chartleigh Cir
Canton, MS 39046-1210
Mailing address
103 Chartleigh Cir
Canton, MS 39046-1210
Phone (601) 503-5717
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1702252800000",
"number": "1245007053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 CHARTLEIGH CIR",
"city": "CANTON",
"state": "MS",
"postal_code": "390461210",
"telephone_number": "601-503-5717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 CHARTLEIGH CIR",
"city": "CANTON",
"state": "MS",
"postal_code": "390461210",
"telephone_number": "601-503-5717"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RELIABLEPROX",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-11",
"last_updated": "2023-12-11",
"certification_date": "2023-12-11",
"status": "A",
"authorized_official_last_name": "FAIRMAN",
"authorized_official_first_name": "CHRIS",
"authorized_official_middle_name": "MONTREL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-503-5717"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.