Provider Demographics
NPI:1275751091
Name:CITY OF JEFFERSON
Entity Type:Organization
Organization Name:CITY OF JEFFERSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRANSIT DIVISION DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:C
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:573-634-6599
Mailing Address - Street 1:320 E MCCARTY ST
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON CITY
Mailing Address - State:MO
Mailing Address - Zip Code:65101-3115
Mailing Address - Country:US
Mailing Address - Phone:573-634-6599
Mailing Address - Fax:573-636-3632
Practice Address - Street 1:320 E MCCARTY ST
Practice Address - Street 2:
Practice Address - City:JEFFERSON CITY
Practice Address - State:MO
Practice Address - Zip Code:65101-3115
Practice Address - Country:US
Practice Address - Phone:573-634-6599
Practice Address - Fax:573-636-3632
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Not Answered347B00000XTransportation ServicesBus