Provider Demographics
NPI:1801241724
Name:CJM TRANSPORTATION,LLC
Entity type:Organization
Organization Name:CJM TRANSPORTATION,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RODNEY
Authorized Official - Middle Name:RAMOND
Authorized Official - Last Name:MOSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:757-639-9355
Mailing Address - Street 1:115 CROSS TER
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-2607
Mailing Address - Country:US
Mailing Address - Phone:757-639-9355
Mailing Address - Fax:757-215-0764
Practice Address - Street 1:115 CROSS TER
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23434-2607
Practice Address - Country:US
Practice Address - Phone:757-639-9355
Practice Address - Fax:757-215-0764
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-28
Last Update Date:2016-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA289343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)