CJ Medical Transportation

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

CJ MEDICAL TRANSPORTATION

Practice address

2311 W Cone Blvd
Suite 150
Greensboro, NC 27408-4042

Phone

(336) 656-9888

Fax

(336) 419-0260

NPI assigned

Aug 5, 2016

Last updated

Aug 5, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Cynthia Lynne Hackworth

Title

Office Administrator

Phone

(336) 656-9888

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470355200000",
    "number": "1114471380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 W CONE BLVD",
            "address_2": "SUITE 150",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274084042",
            "telephone_number": "336-656-9888",
            "fax_number": "336-419-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 W CONE BLVD",
            "address_2": "SUITE 150",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274084042",
            "telephone_number": "336-656-9888",
            "fax_number": "336-419-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJ MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-05",
        "last_updated": "2016-08-05",
        "status": "A",
        "authorized_official_last_name": "HACKWORTH",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "336-656-9888"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40332856",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• John David Civils Jr., DDS
• CK Vascular PLLC
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• Keith Montgomery Clance, M.D.
• Ava Clapp
• Kaley W Clapp, RN

• Non-emergency Medical Transport (VAN) in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Non-emergency Medical Transport (VAN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.