Jordan Transportation LLC

Primary specialty

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

Legal business name

JORDAN TRANSPORTATION LLC

Practice address

107 Caw Caw Hwy
Saint Matthews, SC 29135-7801

Phone

(803) 354-0653

Fax

(844) 890-6743

NPI assigned

Jun 14, 2023

Organization subpart

No

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

Authorized official

Name

Bridget Reed

Title

Manager

Phone

(803) 354-0653

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1194409607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CAW CAW HWY",
            "city": "SAINT MATTHEWS",
            "state": "SC",
            "postal_code": "291357801",
            "telephone_number": "803-354-0653",
            "fax_number": "844-890-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CAW CAW HWY",
            "city": "SAINT MATTHEWS",
            "state": "SC",
            "postal_code": "291357801",
            "telephone_number": "803-354-0653",
            "fax_number": "844-890-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORDAN TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "REED",
        "authorized_official_first_name": "BRIDGET",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "803-354-0653"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Saint Matthews, SC
• Providers in Saint Matthews, SC by specialty
• Non-emergency Medical Transport (VAN) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.