Organization Active NPI

Southern Bound Transportation Company

  • Non-emergency Medical Transport (VAN)
  • Brandon, MS
National Provider Identifier
1477867836
Registry record updated Jul 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
343900000X Issued in MS
Legal business name
SOUTHERN BOUND TRANSPORTATION COMPANY
Practice address
180 Provonce Park
Brandon, MS 39042-5008
Phone
(601) 918-4125
Fax
(601) 706-4779
NPI assigned
Jul 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Markesha Rachell Swan
Title
Owner
Phone
(601) 918-4125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 343900000X MS Primary

Addresses

Primary practice location

180 Provonce Park
Brandon, MS 39042-5008

Mailing address

180 Provonce Park
Brandon, MS 39042-5008
Phone (601) 918-4125

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1477867836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 PROVONCE PARK",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390425008",
            "telephone_number": "601-918-4125",
            "fax_number": "601-706-4751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PROVONCE PARK",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390425008",
            "telephone_number": "601-918-4125",
            "fax_number": "601-706-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN BOUND TRANSPORTATION COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "SWAN",
        "authorized_official_first_name": "MARKESHA",
        "authorized_official_middle_name": "RACHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-918-4125",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MS",
            "license": "343900000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.