Provider Demographics
NPI:1740423383
Name:J AND J MEDICAL TRANSPORT
Entity Type:Organization
Organization Name:J AND J MEDICAL TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RHONDA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:931-206-7146
Mailing Address - Street 1:20 BARKER ST
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37040-3905
Mailing Address - Country:US
Mailing Address - Phone:931-206-7146
Mailing Address - Fax:931-647-5475
Practice Address - Street 1:20 BARKER ST
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-3905
Practice Address - Country:US
Practice Address - Phone:931-206-7146
Practice Address - Fax:931-647-5475
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-13
Last Update Date:2009-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)