Provider Demographics
NPI:1932925922
Name:MISSISSIPPI TRANSIT CARE, LLC
Entity type:Organization
Organization Name:MISSISSIPPI TRANSIT CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:MAURICE
Authorized Official - Last Name:MAYS
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:662-633-2451
Mailing Address - Street 1:510 N GALLATIN ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39203-2721
Mailing Address - Country:US
Mailing Address - Phone:662-633-2451
Mailing Address - Fax:
Practice Address - Street 1:27 HUNTSMAN CV
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:MS
Practice Address - Zip Code:39042-2211
Practice Address - Country:US
Practice Address - Phone:662-633-2451
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance