Provider Demographics
NPI:1639675861
Name:PAYNE MAYS ENTERPRISES
Entity Type:Organization
Organization Name:PAYNE MAYS ENTERPRISES
Other - Org Name:P-M MEDICAL TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSIA
Authorized Official - Middle Name:PAYNE
Authorized Official - Last Name:MAYS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:213-880-7872
Mailing Address - Street 1:PO BOX 565
Mailing Address - Street 2:
Mailing Address - City:BERNICE
Mailing Address - State:LA
Mailing Address - Zip Code:71222-0565
Mailing Address - Country:US
Mailing Address - Phone:318-285-0101
Mailing Address - Fax:318-285-0102
Practice Address - Street 1:115 W 4TH ST # 421
Practice Address - Street 2:
Practice Address - City:BERNICE
Practice Address - State:LA
Practice Address - Zip Code:71222-4014
Practice Address - Country:US
Practice Address - Phone:318-285-0101
Practice Address - Fax:318-285-0102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-05
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle