Active NPI
Jackson County Transportation, Inc.
- Non-emergency Medical Transport (VAN)
- Marianna, FL
National Provider Identifier
1205094521
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- JACKSON COUNTY TRANSPORTATION, INC.
- Doing business as
- JTrans
- Practice address
- 3988 Old Cottondale Rd
Marianna, FL 32448-3612 - Phone
- (850) 482-7433
- Fax
- (850) 482-7592
- NPI assigned
- May 23, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Sharon Peeler, CCTM
- Title
- Executive Director
- Phone
- (850) 482-7433
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
3988 Old Cottondale Rd
Marianna, FL 32448-3612
Mailing address
PO Box 1117
3988 Old Cottondale Road
Marianna, FL 32446-1117
Phone (850) 482-7433
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 686611596 | Medicaid | FL | |
| 686611598 | Medicaid | FL |
Other names 1
- JTrans
National Provider Directory
National Provider DirectoryLocations
3988 Old Cottondale Rd
Marianna, FL 32448
Phone (850) 482-7433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211500800000",
"number": "1205094521",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1117",
"address_2": "3988 OLD COTTONDALE ROAD",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324461117",
"telephone_number": "850-482-7433",
"fax_number": "850-482-7592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3988 OLD COTTONDALE RD",
"city": "MARIANNA",
"state": "FL",
"postal_code": "324483612",
"telephone_number": "850-482-7433",
"fax_number": "850-482-7592"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACKSON COUNTY TRANSPORTATION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-23",
"last_updated": "2008-05-23",
"status": "A",
"authorized_official_last_name": "PEELER",
"authorized_official_first_name": "SHARON",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "850-482-7433",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CCTM"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "686611596",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "686611598",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "JTrans",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Marianna, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.