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Organization
RELIANT MEDICAL TRANSPORTATION, LLC
Active
Organization
RELIANT MEDICAL TRANSPORTATION, LLC
Active
Other names
Reliant Medical Transport
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES W. (TRIPP) FRANCIS III (OWNER/PRESIDENT)
(601) 573-0075
Entity
Organization
Contact information
Practice address
13 NORTHTOWN DR, SUITE 130, JACKSON, MS 39211-3047
(601) 487-8993
Mailing address
PO BOX 9150, PADUCAH, KY 42002-9150
(270) 744-9600
(270) 744-8642
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
—
NULL
3416L0300X
Land Ambulance
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06972772
—
MS
01
—
710025000
DOL
MS
05
—
Q062772
—
TN
Enumeration date
01/17/2017
Last updated
10/07/2021
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