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
—
—
3416L0300X
Land Ambulance
Primary
—
—
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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