Southern Liberty Transportation Company

Primary specialty

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

Legal business name

SOUTHERN LIBERTY TRANSPORTATION COMPANY

Doing business as

Southern Transit

Practice address

2506 Mount Moriah Rd BLDG B
Memphis, TN 38115-1511

Phone

(870) 563-0737

Fax

(870) 563-0738

NPI assigned

Oct 25, 2017

Last updated

Jun 20, 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

Mr. Daniel Kenneth Nelson

Title

General Manager

Phone

(601) 549-6783

Specialties & licenses 1

Addresses

Other names 1

• Southern Transit Doing business as

Locations

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1881106201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 MOUNT MORIAH RD",
            "address_2": "BUILDING B SUITE B451",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38115",
            "telephone_number": "601-549-6783",
            "fax_number": "870-563-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2506 MOUNT MORIAH RD BLDG B",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381151511",
            "telephone_number": "870-563-0737",
            "fax_number": "870-563-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN LIBERTY TRANSPORTATION COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "601-549-6783",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Transit",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Memphis, TN
• Providers in Memphis, TN by specialty
• Non-emergency Medical Transport (VAN) in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.