Provider Demographics
NPI:1609595420
Name:REDS MEDICAL TRANSPORT
Entity Type:Organization
Organization Name:REDS MEDICAL TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JASPER
Authorized Official - Middle Name:DEVONTA
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:228-263-5494
Mailing Address - Street 1:PO BOX 203
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:MS
Mailing Address - Zip Code:39302-0203
Mailing Address - Country:US
Mailing Address - Phone:228-263-5494
Mailing Address - Fax:
Practice Address - Street 1:2317 41ST AVE
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:MS
Practice Address - Zip Code:39307-5265
Practice Address - Country:US
Practice Address - Phone:228-263-5494
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-24
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)