Organization Active NPI

Clemons Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Jackson, MI
National Provider Identifier
1265687990
Registry record updated Dec 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
CLEMONS TRANSPORTATION LLC
Practice address
247 W Monroe St
Jackson, MI 49202-2261
Phone
(517) 782-4069
Fax
(517) 782-8457
NPI assigned
Nov 21, 2008
Last updated
Dec 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2008

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

Authorized official

Name
Ms. Phyllis Clemons
Title
Owner
Phone
(517) 782-4069

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X MI Primary

Addresses

Primary practice location

247 W Monroe St
Jackson, MI 49202-2261

Mailing address

247 W Monroe St
Jackson, MI 49202-2261
Phone (517) 782-4069

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230595200000",
    "number": "1265687990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 W MONROE ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022261",
            "telephone_number": "517-782-4069",
            "fax_number": "517-782-8457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 W MONROE ST",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492022261",
            "telephone_number": "517-782-4069",
            "fax_number": "517-782-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMONS TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-12-30",
        "status": "A",
        "authorized_official_last_name": "CLEMONS",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-782-4069",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.