Provider Demographics
NPI:1912239765
Name:JD & DN SERVICES LLC
Entity Type:Organization
Organization Name:JD & DN SERVICES LLC
Other - Org Name:INTREPID EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNITTA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:DOBBS
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-I
Authorized Official - Phone:903-208-0691
Mailing Address - Street 1:822 LCR 828
Mailing Address - Street 2:
Mailing Address - City:DONIE
Mailing Address - State:TX
Mailing Address - Zip Code:75838
Mailing Address - Country:US
Mailing Address - Phone:903-208-0691
Mailing Address - Fax:254-359-4003
Practice Address - Street 1:822 LCR 828
Practice Address - Street 2:
Practice Address - City:DONIE
Practice Address - State:TX
Practice Address - Zip Code:75838
Practice Address - Country:US
Practice Address - Phone:903-208-0691
Practice Address - Fax:254-359-4003
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-04
Last Update Date:2010-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1000447OtherDSHS
TXAMB1032Medicare PIN