Provider Demographics
NPI:1881173722
Name:UNIVERSAL TRANSPORTATION SOLUTIONS, INC.
Entity type:Organization
Organization Name:UNIVERSAL TRANSPORTATION SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:601-528-5054
Mailing Address - Street 1:147 LACY EVANS RD
Mailing Address - Street 2:
Mailing Address - City:WIGGINS
Mailing Address - State:MS
Mailing Address - Zip Code:39577-9130
Mailing Address - Country:US
Mailing Address - Phone:601-528-5054
Mailing Address - Fax:601-528-5056
Practice Address - Street 1:147 LACY EVANS RD
Practice Address - Street 2:
Practice Address - City:WIGGINS
Practice Address - State:MS
Practice Address - Zip Code:39577-9130
Practice Address - Country:US
Practice Address - Phone:601-528-5054
Practice Address - Fax:601-528-5056
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-10
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)