Provider Demographics
NPI:1467925297
Name:J SIMMONS TRANSPORTATION
Entity Type:Organization
Organization Name:J SIMMONS TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:803-494-9581
Mailing Address - Street 1:3300 W BREWINGTON RD
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29153-8336
Mailing Address - Country:US
Mailing Address - Phone:803-494-9581
Mailing Address - Fax:803-494-9587
Practice Address - Street 1:3300 W BREWINGTON RD
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29153-8336
Practice Address - Country:US
Practice Address - Phone:803-494-9581
Practice Address - Fax:803-494-9587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-03
Last Update Date:2019-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance