Organization
JR MEDICAL TRANSPORTATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND DENNIS JR. (OWNER)
(225) 413-8982
Entity
Organization
Contact information
Practice address
57335 CPL HERMAN BROWN JR ST, WHITE CASTLE, LA 70788-3122
(225) 413-8982
(225) 545-0131
Mailing address
PO BOX 142, WHITE CASTLE, LA 70788-0142
(225) 413-8982
(225) 545-0131
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
1612243
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1612243
—
LA
Enumeration date
04/16/2007
Last updated
08/22/2020
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