PCS Midsouth Transport LLC

Primary specialty

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

Legal business name

PCS MIDSOUTH TRANSPORT LLC

Doing business as

Walter Black

Practice address

1723 Highway 51 S Ste E
Covington, TN 38019

Phone

(901) 313-9238

Fax

(901) 313-9236

NPI assigned

Jun 24, 2020

Last updated

Jun 30, 2020By 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

Walter Black

Title

Managing Principal

Phone

(901) 313-9238

Specialties & licenses 1

Addresses

Other names 1

• Walter Black Doing business as

Locations

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593475200000",
    "number": "1255957361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 HIGHWAY 51 S STE E",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "380193628",
            "telephone_number": "901-313-9238",
            "fax_number": "901-313-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 HIGHWAY 51 S STE E",
            "city": "COVINGTON",
            "state": "TN",
            "postal_code": "38019",
            "telephone_number": "901-313-9238",
            "fax_number": "901-313-9236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCS MIDSOUTH TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "MANAGING PRINCIPAL",
        "authorized_official_telephone_number": "901-313-9238"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walter Black",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Walter Black",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David N Park, DPH
• Shana L Parker
• Mital Keyurkumar Patel
• Paul W. Hutchison
• Paul W. Hutchison, D.P.M.
• Adrienne Penilton
• Personal Care Services Midsouth, LLC
• Carmen Faye Pfeifer, MA, CRC, NCC, LPC
• Carol Pham
• Shuketa S Phelps

• Non-emergency Medical Transport (VAN) in Covington, TN
• Providers in Covington, TN by specialty
• Non-emergency Medical Transport (VAN) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.