Provider Demographics
NPI:1679901607
Name:JILAPUHN INC
Entity Type:Organization
Organization Name:JILAPUHN INC
Other - Org Name:SUN SHUTTLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:STAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDUFFIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:800-256-3521
Mailing Address - Street 1:5650 GREENWOOD PLAZA BLVD
Mailing Address - Street 2:STE 137
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2307
Mailing Address - Country:US
Mailing Address - Phone:888-231-1631
Mailing Address - Fax:970-427-3172
Practice Address - Street 1:868 NM HIGHWAY 333
Practice Address - Street 2:
Practice Address - City:TIJERAS
Practice Address - State:NM
Practice Address - Zip Code:87059
Practice Address - Country:US
Practice Address - Phone:888-231-1631
Practice Address - Fax:970-427-3172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-30
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)