JOSEPH MATTHEW FAIRLEY NPI 1144817115

NPI Information

NPI: 1144817115
Provider Name: JOSEPH MATTHEW FAIRLEY
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Individual
Address:
1466 KRISTEN DR
JACKSON, MS
ZIP 39211
Phone: (601) 497-4757
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Joseph Matthew Fairley is a non emergency medical transport van in Jackson, MS. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. Joseph Matthew Fairley NPI is 1144817115. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1466 KRISTEN DR
JACKSON, MS
ZIP 39211-115
Phone: (601) 497-4757

The enumeration date for this NPI number is 12/24/2020 and was last updated on 12/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	343900000X	Non-emergency Medical Transport (VAN)				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	800718433	MEDICAID	MISSISSIPPI
2	80078433	MEDICAID	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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