Timberlake Transportation LLC

Primary specialty

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

Legal business name

TIMBERLAKE TRANSPORTATION LLC

Doing business as

Timberlake Transportation

Practice address

303 Carruthers St
Sardis, MS 38666-3474

Phone

(141) 489-9303

NPI assigned

Oct 25, 2023

Last updated

Oct 25, 2023By 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

Terri R ClaytonNPI 1982476610

Title

Owner

Phone

(414) 899-3030

Specialties & licenses 1

Addresses

Other names 1

• Timberlake Transportation Doing business as

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.

• Terri R Clayton

  • Driver
  • Sardis, MS
  • NPI 1982476610
  NPD Authorized official

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

{
    "created_epoch": "1698192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1508638230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4478 N 72ND ST",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532185420",
            "telephone_number": "414-899-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 CARRUTHERS ST",
            "city": "SARDIS",
            "state": "MS",
            "postal_code": "386663474",
            "telephone_number": "141-489-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMBERLAKE TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-25",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-899-3030"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timberlake Transportation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Sardis, MS
• Providers in Sardis, 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 Oct 25, 2023; 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.