Individual provider · Type 1 NPI

Irvin Charles Jackson

Non-emergency Medical Transport (VAN) · Shubuta, MS

NPI number 1851903264 Active

Practice location

327 East Street
Shubuta, MS 39360

Mailing address

PO Box 62
Shubuta, MS 39360-0062

Specialties and licenses

TaxonomyCodeLicense
Non-emergency Medical Transport (VAN) 343900000X8006822128 (MS)
Non-emergency Medical Transport (VAN) Primary 343900000XNone listed

Non-emergency Medical Transport (VAN): 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.

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About NPI 1851903264

Irvin Charles Jackson's National Provider Identifier is 1851903264, issued on Aug 18, 2020. The primary taxonomy on file is Non-emergency Medical Transport (VAN) (343900000X), and the practice location is in Shubuta, MS. The record was last updated on Sep 2, 2020.