Tameka Davis

Individual provider Active NPI Non-emergency Medical Transport (VAN) · Crawford, MS

NPI 1639645989 · NPPES record last updated Oct 15, 2018

Key facts

NPI
1639645989
Entity type
Individual (NPI type 1)
Primary specialty
Non-emergency Medical Transport (VAN) 343900000X
License
800822870 (MS)
Practice address
79 Short St
Crawford, MS 39743
Phone
(662) 346-6574
Fax
(662) 272-9522
NPI assigned
Oct 15, 2018
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
800822870MSMDNon-emergency Medical Transport (VAN)

Practice roles

OrganizationSpecialtyStatusNew patients
D&T Transportation of Crawford LLC Non-Emergency Medical Transport (Van) Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 800822870 MS Yes

Addresses

Primary practice location

79 Short St
Crawford, MS 39743

Mailing address

PO Box 482
Crawford, MS 39743-0482
Phone (662) 346-6574

Other providers in Crawford, MS

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

Sources for this page

Verify at the official NPI Registry.