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Irvin Charles Jackson
Non-emergency Medical Transport (VAN) in Shubuta, Mississippi
NPI 1851903264

Irvin Charles Jackson is a Non-emergency Medical Transport (VAN) based in Shubuta, MS. Irvin Charles Jackson practices in Shubuta, MS. The NPI Number for Irvin Charles Jackson is 1851903264 and holds a License No. 8006822128 (Mississippi).

The current practice location address for Irvin Charles Jackson is 327 East Street, Shubuta, MS and can be reached out via phone at 601-577-4018.

Location: 327 East Street, Shubuta, MS, 39360-0062
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851903264
Provider Name
Irvin Charles Jackson
Credential
Provider Entity Type
Individual
Gender
Male
Address
327 East Street, Shubuta, MS, 39360-0062
Phone Number
601-577-4018
Fax Number
Provider Enumeration Date
08/18/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
327 East Street
City
Shubuta
State
Mississippi
Zip
39360
Phone Number
601-577-4018
Fax Number
person
Provider Business Mailing Address Details
Address
327 East Street
City
Shubuta
State
Mississippi
Zip
39360
Phone Number
601-577-4018
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
8006822128 (Mississippi)
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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