Provider Demographics
NPI:1336542505
Name:JAY'S TRANSPORT 247
Entity Type:Organization
Organization Name:JAY'S TRANSPORT 247
Other - Org Name:MED SYNC TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:GILLESPIE
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:734-646-8846
Mailing Address - Street 1:2035 HOGBACK RD
Mailing Address - Street 2:103
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9732
Mailing Address - Country:US
Mailing Address - Phone:734-646-8846
Mailing Address - Fax:734-477-8001
Practice Address - Street 1:2035 HOGBACK RD
Practice Address - Street 2:103
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-9732
Practice Address - Country:US
Practice Address - Phone:734-646-8846
Practice Address - Fax:734-477-8001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-02
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI343800000X
343900000X
MIG421887379396344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No344600000XTransportation ServicesTaxi