Elite Transportation-Ms, LLC
Organization Active NPI Non-emergency Medical Transport (VAN) · Shubuta, MS
NPI 1447723358 · NPPES record last updated Jan 3, 2019
Key facts
- NPI
- 1447723358
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- Legal business name
- ELITE TRANSPORTATION-MS, LLC
- Practice address
- 6320 County Road 610
Shubuta, MS 39360-9329 - Phone
- (601) 480-7276
- NPI assigned
- Jan 3, 2019
- Organization subpart
- No
Authorized official
- Name
- Ms. Debra Eloise Bender
- Title
- Owner
- Phone
- (601) 480-7276
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Yes |
Addresses
Primary practice location
6320 County Road 610
Shubuta, MS 39360-9329
Mailing address
PO Box 202
Shubuta, MS 39360-0202
Phone (601) 480-7276
NPI Registry JSON
{
"created_epoch": "1546473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1546473600000",
"number": "1447723358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 202",
"city": "SHUBUTA",
"state": "MS",
"postal_code": "393600202",
"telephone_number": "601-480-7276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6320 COUNTY ROAD 610",
"city": "SHUBUTA",
"state": "MS",
"postal_code": "393609329",
"telephone_number": "601-480-7276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE TRANSPORTATION-MS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-03",
"last_updated": "2019-01-03",
"status": "A",
"authorized_official_last_name": "BENDER",
"authorized_official_first_name": "DEBRA",
"authorized_official_middle_name": "ELOISE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-480-7276",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shubuta, MS
- Jaquina Adams
- Debra Eloise Bender
- Shanika Boyd
- Jerrica Nicole Frazier
- Heart and Soul Acadmey LLC
- Irvin Charles Jackson
- Jacquenett Jackson
- Jaquilla Q Jones
All providers in Shubuta, MS · Non-emergency Medical Transport (VAN) in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.