Provider Demographics
NPI:1649752460
Name:PROMPT TRANSPORTATION, LLC
Entity Type:Organization
Organization Name:PROMPT TRANSPORTATION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:VIVERETTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-613-5522
Mailing Address - Street 1:103 DOGWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:PEARL
Mailing Address - State:MS
Mailing Address - Zip Code:39208-8110
Mailing Address - Country:US
Mailing Address - Phone:601-613-5522
Mailing Address - Fax:769-216-2933
Practice Address - Street 1:737B COOPER RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39212-4108
Practice Address - Country:US
Practice Address - Phone:601-372-8574
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-29
Last Update Date:2018-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No347E00000XTransportation ServicesTransportation Broker