Provider Demographics
NPI:1275956351
Name:JENKINS TRANSPORTATION SERVICE
Entity Type:Organization
Organization Name:JENKINS TRANSPORTATION SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-552-7402
Mailing Address - Street 1:9111 THISTLEDOWN RD
Mailing Address - Street 2:390
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-8275
Mailing Address - Country:US
Mailing Address - Phone:443-552-7402
Mailing Address - Fax:410-780-5104
Practice Address - Street 1:9111 THISTLEDOWN RD
Practice Address - Street 2:390
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-8275
Practice Address - Country:US
Practice Address - Phone:443-552-7402
Practice Address - Fax:410-780-5104
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-27
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD5037343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)