Provider Demographics
NPI:1740877182
Name:JUSTRANZIT SCHOOL BUS INC
Entity type:Organization
Organization Name:JUSTRANZIT SCHOOL BUS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DEIDRE
Authorized Official - Middle Name:
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-791-5195
Mailing Address - Street 1:2306 N 49TH ST
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34946-1017
Mailing Address - Country:US
Mailing Address - Phone:919-791-5195
Mailing Address - Fax:
Practice Address - Street 1:2306 N 49TH ST
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34946-1017
Practice Address - Country:US
Practice Address - Phone:919-791-5195
Practice Address - Fax:772-464-6522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL15561650ZMedicaid
FL024834400Medicaid