Provider Demographics
NPI:1942740402
Name:J&R TRANSPORTATION
Entity Type:Organization
Organization Name:J&R TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-382-1778
Mailing Address - Street 1:336 NICELY TRL
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37849-3063
Mailing Address - Country:US
Mailing Address - Phone:865-654-5890
Mailing Address - Fax:865-240-4658
Practice Address - Street 1:4617 CENTRAL AVENUE PIKE APT C
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37912-4068
Practice Address - Country:US
Practice Address - Phone:865-654-5890
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-03
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0320168343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)