Organization
CITY MEDICAL TRANSIT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRAYL SHERMAN JACK (OWNER)
(225) 603-6247
Entity
Organization
Contact information
Practice address
6222 KLEINPETER RD, BATON ROUGE, BATON ROUGE, LA 70811-1325
(225) 603-6247
Mailing address
6222 KLEINPETER RD, BATON ROUGE, BATON ROUGE, LA 70811-1325
(225) 603-6247
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
000049810
LA
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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