Provider Demographics
NPI:1588468649
Name:MID-SOUTH NEMT SERVICES
Entity type:Organization
Organization Name:MID-SOUTH NEMT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:ANJUANISE
Authorized Official - Middle Name:L
Authorized Official - Last Name:KEEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-949-5383
Mailing Address - Street 1:4190 MEADOW RIDGE TRL
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38141-1304
Mailing Address - Country:US
Mailing Address - Phone:901-949-5383
Mailing Address - Fax:
Practice Address - Street 1:4190 MEADOW RIDGE TRL
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38141-1304
Practice Address - Country:US
Practice Address - Phone:901-949-5383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)