Providence

Driver · Foxworth, MS

Organization Active NPI

NPI number 1821567991

Practice location

17 Daisy Ln
Foxworth, MS 39483-4868
Phone
(601) 395-7602

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NPI record

NPI
1821567991
Entity type
Organization (Type 2)
Enumeration date
November 19, 2018
Last updated
November 19, 2018
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Driver Primary 172A00000X 800427553 MS
Non-emergency Medical Transport (VAN) 343900000X 8000427553 MS
Private Vehicle 347C00000X 098765 MS

Authorized official

Name
Mr. David D Smith
Title
CEO
Phone
(601) 395-7602

Other names

  • providance

About Providence

Providence is a healthcare organization registered in the NPI registry with the primary taxonomy Driver (code 172A00000X). The practice location is 17 Daisy Ln, Foxworth, MS 39483-4868. The NPI number 1821567991 was assigned on November 19, 2018 and the record was last updated on November 19, 2018.

Providence lists 3 licenses in the registry: #800427553 (MS) for Driver; #8000427553 (MS) for Non-emergency Medical Transport (VAN); #098765 (MS) for Private Vehicle. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mr. David D Smith, CEO.

Frequently asked questions

What is the NPI number of Providence?

The NPI number is 1821567991.

What is the phone number of Providence?

The phone number listed for the practice location is (601) 395-7602.

Where is Providence located?

17 Daisy Ln, Foxworth, MS 39483-4868.

What is the taxonomy code for Providence?

The primary taxonomy code is 172A00000X – Driver; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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