Provider Demographics
NPI:1073202933
Name:THOMPSON&YOUNG TRANSPORTATION LLC
Entity Type:Organization
Organization Name:THOMPSON&YOUNG TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAKYLA
Authorized Official - Middle Name:R
Authorized Official - Last Name:POWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:636-777-1466
Mailing Address - Street 1:332 BOLTON DR
Mailing Address - Street 2:
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63011-5011
Mailing Address - Country:US
Mailing Address - Phone:636-778-6572
Mailing Address - Fax:
Practice Address - Street 1:332 BOLTON DR
Practice Address - Street 2:
Practice Address - City:BALLWIN
Practice Address - State:MO
Practice Address - Zip Code:63011-5011
Practice Address - Country:US
Practice Address - Phone:636-778-6572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)