Organization Active NPI

Jackson County Transportation, Inc.

  • Non-emergency Medical Transport (VAN)
  • Marianna, FL
National Provider Identifier
1205094521
Registry record updated May 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
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

Updated by the provider on May 23, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
686611596MedicaidFL
686611598MedicaidFL

Other names 1

  • JTrans Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.