Mangum Mississippi Transport LLC

Primary specialty

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

Legal business name

MANGUM MISSISSIPPI TRANSPORT LLC

Practice address

26237 W Main St
West Point, MS 39773-2749

Phone

(800) 982-3590

Fax

(800) 982-3590

NPI assigned

Jun 15, 2021

Last updated

Jun 15, 2021By 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

Nicole Deanes MangumNPI 1548862386

Title

Owner

Phone

(662) 605-0382

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole D Mangum

  • Non-emergency Medical Transport (VAN)
  • West Point, MS
  • NPI 1548862386
  NPD Authorized official

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1306414412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29680 HIGHWAY 50 E",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397735589",
            "telephone_number": "662-605-0382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26237 W MAIN ST",
            "city": "WEST POINT",
            "state": "MS",
            "postal_code": "397732749",
            "telephone_number": "800-982-3590",
            "fax_number": "800-982-3590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANGUM MISSISSIPPI TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "MANGUM",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "DEANES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-605-0382"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lincare Inc.
• Camille Long, MS
• Chiguita S Long, MS
• Keicia T Lynn, F.N.P.
• Charlotte Magnussen, M.D.
• Nicole D Mangum
• Sharon P. Manning, M.S. CCC-SLP
• Jo Ellen Martin, CRNA
• Ren Massey, Jr., D.C.
• Madison Taylor McBride, OD

• Non-emergency Medical Transport (VAN) in West Point, MS
• Providers in West Point, 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 Jun 15, 2021; 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.