Provider Demographics
NPI:1497016687
Name:MOBILE ONE NON-EMERGENCY TRANSPORT SERVICE, LLC
Entity Type:Organization
Organization Name:MOBILE ONE NON-EMERGENCY TRANSPORT SERVICE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:J
Authorized Official - Last Name:FOIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-545-3322
Mailing Address - Street 1:6 BLACKWELL BLVD
Mailing Address - Street 2:
Mailing Address - City:HATTIESBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39402
Mailing Address - Country:US
Mailing Address - Phone:601-545-3322
Mailing Address - Fax:800-757-0381
Practice Address - Street 1:6 BLACKWELL BLVD
Practice Address - Street 2:
Practice Address - City:HATTIESBURG
Practice Address - State:MS
Practice Address - Zip Code:39402
Practice Address - Country:US
Practice Address - Phone:601-545-3322
Practice Address - Fax:800-757-0381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-04
Last Update Date:2015-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No172A00000XOther Service ProvidersDriverGroup - Single Specialty
No347B00000XTransportation ServicesBus