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US LAND CRUISER NON PROFIT PUBLIC TRANS. INC. NPI 1205088259


NPI Information

NPI: 1205088259
Provider Name: US LAND CRUISER NON PROFIT PUBLIC TRANS., INC.
Classification: Driver - 172A00000X
Entity Type: Organization
Address:
3004 CLIFF GOOKIN BLVD
SUITE B
TUPELO, MS
ZIP 38801
Phone: (662) 840-9484
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US LAND CRUISER NON PROFIT PUBLIC TRANS., INC. is a driver in Tupelo, MS. The provider is a person employed to operate a motor vehicle as a carrier of persons or property. US LAND CRUISER NON PROFIT PUBLIC TRANS., INC. NPI is 1205088259. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3004 CLIFF GOOKIN BLVD
SUITE B
TUPELO, MS
ZIP 38801-005
Phone: (662) 840-9484
Fax: (662) 840-5884

The provider's authorized official is James Howard Pulliam .
The authorized official title is President and has the following contact phone number (662) 840-9484.

The enumeration date for this NPI number is 10/21/2008 and was last updated on 10/21/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1172A00000XDriverYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
108526865MEDICAIDMISSISSIPPI

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

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