Provider Demographics
NPI:1356851737
Name:MEDICAL RESPONSE TRANSPORTATION
Entity Type:Organization
Organization Name:MEDICAL RESPONSE TRANSPORTATION
Other - Org Name:TONYA JONES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-710-7396
Mailing Address - Street 1:301 DINWIDDIE DR
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:TN
Mailing Address - Zip Code:37115-2408
Mailing Address - Country:US
Mailing Address - Phone:615-710-7396
Mailing Address - Fax:
Practice Address - Street 1:301 DINWIDDIE DR
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:TN
Practice Address - Zip Code:37115-2408
Practice Address - Country:US
Practice Address - Phone:615-710-7396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-11
Last Update Date:2017-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ029309Medicaid