Provider Demographics
NPI:1669247193
Name:JOHNSON TRANSPORTATION
Entity type:Organization
Organization Name:JOHNSON TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:803-378-6101
Mailing Address - Street 1:4544 MAIN TRAIL RD
Mailing Address - Street 2:
Mailing Address - City:ORANGEBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29118-9348
Mailing Address - Country:US
Mailing Address - Phone:803-378-6101
Mailing Address - Fax:832-737-7978
Practice Address - Street 1:4544 MAIN TRAIL RD
Practice Address - Street 2:
Practice Address - City:ORANGEBURG
Practice Address - State:SC
Practice Address - Zip Code:29118-9348
Practice Address - Country:US
Practice Address - Phone:803-378-6101
Practice Address - Fax:832-737-7978
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-15
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)