Provider Demographics
NPI:1144036690
Name:MOORE TRANPORT SERVICES MTS LLC
Entity type:Organization
Organization Name:MOORE TRANPORT SERVICES MTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:EARL
Authorized Official - Last Name:MOORE
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:662-458-1982
Mailing Address - Street 1:907 MISSISSIPPI AVE
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:38930-5220
Mailing Address - Country:US
Mailing Address - Phone:662-458-1982
Mailing Address - Fax:
Practice Address - Street 1:907 MISSISSIPPI AVE
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:MS
Practice Address - Zip Code:38930-5220
Practice Address - Country:US
Practice Address - Phone:662-458-1982
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No171W00000XOther Service ProvidersContractorGroup - Single Specialty
No347E00000XTransportation ServicesTransportation Broker
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No342000000XTransportation ServicesTransportation Network Company