Gulf Coast Value Cab

Primary specialty

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

License

18-1021 Issued in NU

Legal business name

GULF COAST VALUE CAB

Practice address

12496 Perkins LN
Gulfport, MS 39503-9347

Phone

(228) 234-7433

NPI assigned

Aug 1, 2018

Last updated

Aug 1, 2018By 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. Richard Smith

Title

Owner

Phone

(228) 234-7433

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1255819330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13701 BRIARWOOD DR",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395656140",
            "telephone_number": "228-234-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12496 PERKINS LN",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395039347",
            "telephone_number": "228-234-7433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST VALUE CAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-234-7433",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": "18-1021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gulfcoast Dental Center
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• Non-emergency Medical Transport (VAN) in Gulfport, MS
• Providers in Gulfport, 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 Aug 1, 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.