Provider Demographics
NPI:1134659873
Name:HEARTLAND MEDICAL TRANSPORTATION, INC.
Entity Type:Organization
Organization Name:HEARTLAND MEDICAL TRANSPORTATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:JOSLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-349-0805
Mailing Address - Street 1:1945 SCOTTSVILLE RD
Mailing Address - Street 2:SUITE B-2, PMB #129
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42104-5817
Mailing Address - Country:US
Mailing Address - Phone:270-349-0805
Mailing Address - Fax:
Practice Address - Street 1:1319 EASTLAND ST
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42104-3371
Practice Address - Country:US
Practice Address - Phone:270-349-0805
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-15
Last Update Date:2017-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)