Provider Demographics
NPI:1770029332
Name:J&J MEDICAL TRANSPORT
Entity Type:Organization
Organization Name:J&J MEDICAL TRANSPORT
Other - Org Name:J&J MEDICAL TRANSPORT
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:
Authorized Official - First Name:JOHNE
Authorized Official - Middle Name:
Authorized Official - Last Name:CONLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-487-7343
Mailing Address - Street 1:351 OAK LANE
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17401
Mailing Address - Country:US
Mailing Address - Phone:717-487-7343
Mailing Address - Fax:
Practice Address - Street 1:351 OAK LN
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17401-2118
Practice Address - Country:US
Practice Address - Phone:717-487-7343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:J&J MEDICAL MEDICAL TANSPORT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-01-06
Last Update Date:2017-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)