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Joseph Matthew Fairley SR.
Non-emergency Medical Transport (VAN) in Jackson, Mississippi
NPI 1144817115

Joseph Matthew Fairley SR. is a Non-emergency Medical Transport (VAN) based in Jackson, MS. Joseph Matthew Fairley SR. practices in Jackson, MS. The NPI Number for Joseph Matthew Fairley SR. is 1144817115 and holds a License No. (Mississippi).

The current practice location address for Joseph Matthew Fairley SR. is 1466 Kristen Dr, Jackson, MS and can be reached out via phone at 601-497-4757.

Location: 1466 Kristen Dr, Jackson, MS, 39211-2115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144817115
Provider Name
Joseph Matthew Fairley SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1466 Kristen Dr, Jackson, MS, 39211-2115
Phone Number
601-497-4757
Fax Number
Provider Enumeration Date
12/24/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
800718433 05 MS
80078433 05 MS
institution
Provider Business Practice Location Address Details
Address
1466 Kristen Dr
City
Jackson
State
Mississippi
Zip
39211-2115
Phone Number
601-497-4757
Fax Number
person
Provider Business Mailing Address Details
Address
1466 Kristen Dr
City
Jackson
State
Mississippi
Zip
39211-2115
Phone Number
601-497-4757
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
()
Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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