Provider Demographics
NPI:1841863347
Name:STJ MEDICAL TRANSPORTATION SERVICES
Entity type:Organization
Organization Name:STJ MEDICAL TRANSPORTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:JENKINS
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-834-8736
Mailing Address - Street 1:13015 HIRAM CLARKE RD STE A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77045-3204
Mailing Address - Country:US
Mailing Address - Phone:832-834-8736
Mailing Address - Fax:713-485-4688
Practice Address - Street 1:13015 HIRAM CLARKE RD STE A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77045-3204
Practice Address - Country:US
Practice Address - Phone:832-834-8736
Practice Address - Fax:713-485-4688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-21
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)