Provider Demographics
NPI:1265744346
Name:JRS JUNIOR NON MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:JRS JUNIOR NON MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:R
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:574-875-4019
Mailing Address - Street 1:23737 US HIGHWAY 33
Mailing Address - Street 2:SUITE B1
Mailing Address - City:ELKHART
Mailing Address - State:IN
Mailing Address - Zip Code:46517-3564
Mailing Address - Country:US
Mailing Address - Phone:574-875-4019
Mailing Address - Fax:574-875-7007
Practice Address - Street 1:23737 US HIGHWAY 33
Practice Address - Street 2:SUITE B1
Practice Address - City:ELKHART
Practice Address - State:IN
Practice Address - Zip Code:46517-3564
Practice Address - Country:US
Practice Address - Phone:574-875-4019
Practice Address - Fax:574-875-7007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-06
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker