Madison County Citizens Services Agency

Primary specialty

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

Legal business name

MADISON COUNTY CITIZENS SERVICES AGENCY

Practice address

1005 W Peace St
Canton, MS 39046-5378

Phone

(601) 391-1993

Fax

(601) 391-1997

NPI assigned

Apr 26, 2018

Last updated

Apr 26, 2018By 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

Dr. Mary Sims-Johnson

Title

Executive Director

Phone

(601) 391-1993

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1518455468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1358",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390461358",
            "telephone_number": "601-391-1993",
            "fax_number": "601-391-1997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W PEACE ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390465378",
            "telephone_number": "601-391-1993",
            "fax_number": "601-391-1997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADISON COUNTY CITIZENS SERVICES AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "SIMS-JOHNSON",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "601-391-1993",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LS Private Homecare Service (Home Healthcare)
• Alexia Lucious
• Lindsey Akers Lynch
• Nicole M Mack
• Madison Ambulatory Surgery Center, LLC
• Madison County General Hospital (Madison County Nursing Home)
• Madison County Nursing Home
• Madison Emergency Group LLC
• Madison Hma (Patients Choice Senior Care of Madison County)
• Madison Hma LLC

• Non-emergency Medical Transport (VAN) in Canton, MS
• Providers in Canton, 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 Apr 26, 2018; 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.