Provider Demographics
NPI:1568003994
Name:JC'S TRANSPORT SERVICES LLC
Entity Type:Organization
Organization Name:JC'S TRANSPORT SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JOANN
Authorized Official - Middle Name:MASHURN
Authorized Official - Last Name:CLARIDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-288-9241
Mailing Address - Street 1:PO BOX 1003
Mailing Address - Street 2:
Mailing Address - City:MACCLENNY
Mailing Address - State:FL
Mailing Address - Zip Code:32063-1003
Mailing Address - Country:US
Mailing Address - Phone:904-468-3110
Mailing Address - Fax:
Practice Address - Street 1:10185 SE 141ST BLVD
Practice Address - Street 2:
Practice Address - City:WHITE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32096-2433
Practice Address - Country:US
Practice Address - Phone:904-468-3110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-07
Last Update Date:2019-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)