Organization
GEM TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON VAN QUILL (PRESIDENT)
(208) 283-6881
Entity
Organization
Contact information
Practice address
1200 N MAIN ST UNIT 1261, MERIDIAN, ID 83680-5056
(208) 283-6881
Mailing address
1200 N MAIN ST UNIT 1261, MERIDIAN, ID 83680-5056
(208) 283-6881
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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