Provider Demographics
NPI:1649052374
Name:CK NON EMERGENCY MEDICAL TRANSPORTATIO LLC
Entity type:Organization
Organization Name:CK NON EMERGENCY MEDICAL TRANSPORTATIO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPANY SECRETARY
Authorized Official - Prefix:MS
Authorized Official - First Name:JESCAH
Authorized Official - Middle Name:
Authorized Official - Last Name:KAHUNGU
Authorized Official - Suffix:
Authorized Official - Credentials:HELPER
Authorized Official - Phone:319-699-2586
Mailing Address - Street 1:1915 GEORGE DR
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IA
Mailing Address - Zip Code:52302-7026
Mailing Address - Country:US
Mailing Address - Phone:319-210-8234
Mailing Address - Fax:
Practice Address - Street 1:1915 GEORGE DR
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IA
Practice Address - Zip Code:52302-7026
Practice Address - Country:US
Practice Address - Phone:319-210-8234
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-17
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)