MPM'S Medical Transport, LLC

Primary specialty

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

Legal business name

MPM'S MEDICAL TRANSPORT, LLC

Practice address

8169 Myrtlewood Rd
Greenwood, LA 71033-3025

Phone

(318) 572-3102

NPI assigned

Oct 3, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Ivy Jacobs

Title

Management

Phone

(318) 572-3102

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1633219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1255003778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8169 MYRTLEWOOD RD",
            "city": "GREENWOOD",
            "state": "LA",
            "postal_code": "710333025",
            "telephone_number": "318-572-3102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8169 MYRTLEWOOD RD",
            "city": "GREENWOOD",
            "state": "LA",
            "postal_code": "710333025",
            "telephone_number": "318-572-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPM'S MEDICAL TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-03",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "IVY",
        "authorized_official_title_or_position": "MANAGEMENT",
        "authorized_official_telephone_number": "318-572-3102",
        "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": []
}

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• Non-emergency Medical Transport (VAN) in Greenwood, LA
• Providers in Greenwood, LA by specialty
• Non-emergency Medical Transport (VAN) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.

Verify at the official NPI Registry.