Organization
JACKSON TRANSIT AUTHORITY
Active
Other names
JTA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHNNY GULLETT (GENERAL MANAGER)
(731) 423-0200
Entity
Organization
Contact information
Practice address
241 E DEADRICK ST, JACKSON, TN 38301-5361
(731) 423-0200
(731) 424-9323
Mailing address
241 E DEADRICK ST, JACKSON, TN 38301-5361
(731) 423-0200
(731) 424-9323
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T000171
—
TN
Enumeration date
01/03/2007
Last updated
07/13/2007
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