Organization
CJ CRITICAL CARE TRANSPORTATION SYSTEMS OF KENTUCKY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK KEENE (NATIONAL DIRECTOR)
(909) 915-2301
Entity
Organization
Contact information
Practice address
911 BYPASS RD, PIKEVILLE, KY 41501-1689
(606) 218-4602
(606) 218-4609
Mailing address
275 CURRY HOLLOW RD, STE G300, PITTSBURGH, PA 15236-4631
(412) 653-2185
(412) 653-6050
Taxonomy
Speciality
Code
Description
License number
State
3416A0800X
Air Ambulance
1207
VA
3416A0800X
Air Ambulance
7010
KY
3416A0800X
Air Ambulance
7013
KY
3416A0800X
Air Ambulance
Primary
7019
KY
3416L0300X
Land Ambulance
1611
KY
3416L0300X
Land Ambulance
3010
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010008808
—
VA
05
—
55000871
—
KY
05
—
8010002000
—
WV
Enumeration date
06/15/2005
Last updated
09/28/2009
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