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 NPI 1053882415
Title
Owner
Phone
(601) 480-7276

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 3, 2019.

{
    "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

All providers in Shubuta, MS · Non-emergency Medical Transport (VAN) in Mississippi

Sources for this page

Verify at the official NPI Registry.