Active NPIIndividual providerSole proprietor

Jimmy L Harris

Non-emergency Medical Transport (VAN) in Ithaca, New York

NPI Number1528722675
Practice location
654 Spencer RD Apt 3E, Ithaca, NY 14850-5127
Fax
—
Last updated
October 25, 2021

Jimmy Lee Harris is a Non-emergency Medical Transport (VAN) based in Ithaca, NY. Jimmy Lee Harris practices in Ithaca, NY. The NPI Number for Jimmy Lee Harris is 1528722675 and holds a License No. 794609483 (NY). The current practice location address for Jimmy Lee Harris is 654 Spencer RD Apt 3E, Ithaca, NY 14850-5127 and can be reached out via phone at 929-810-7610.

Provider Profile Details

NPI Number
1528722675
Provider Name
Jimmy Lee Harris
Provider Entity Type
Individual
Gender
Male
Address
654 Spencer RD Apt 3E, Ithaca, NY 14850-5127
Phone Number
929-810-7610
Primary Taxonomy
Non-emergency Medical Transport (VAN) · 343900000X
Sole Proprietor
Yes
Provider Enumeration Date
October 25, 2021
Last Update Date
October 25, 2021
Certification Date
October 25, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
654 Spencer RD Apt 3E
Ithaca, NY 14850-5127
City
Ithaca
Zip
14850-5127
Phone Number
929-810-7610
Ithaca, NY 14850Get directions →

Provider Business Mailing Address Details

Address
622 W 137TH St Apt 24
New York, NY 10031-8042
City
New York
State
NY
Zip
10031-8042
Phone Number
929-810-7610

License Information

License Number
794609483
License State
NY
Taxonomy
Non-emergency Medical Transport (VAN) · 343900000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jimmy L Harris?

The NPI number of Jimmy L Harris is 1528722675. It was assigned on October 25, 2021 and is currently active in the NPPES registry.

What is the specialty of Jimmy L Harris?

Jimmy L Harris is registered under the primary taxonomy Non-emergency Medical Transport (VAN) (code 343900000X), licensed in NY under license number 794609483.

Where does Jimmy L Harris practice?

The practice location is 654 Spencer RD Apt 3E, Ithaca, NY 14850-5127. The office can be reached at 929-810-7610 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1528722675 directly on the NPPES registry website.

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