Aj Transport

Primary specialty

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

License

PW213673B Issued in ID

Legal business name

AJ TRANSPORT

Practice address

510 S. 6TH St.
Pinehurst, ID 83850

Phone

(208) 755-1040

NPI assigned

Sep 1, 2016

Last updated

Sep 1, 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

Judy Lynn Shafer

Title

Owner/Operator

Phone

(208) 755-1040

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472688000000",
    "number": "1326595869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 58",
            "city": "KINGSTON",
            "state": "ID",
            "postal_code": "838390058",
            "telephone_number": "208-755-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S. 6TH ST.",
            "city": "PINEHURST",
            "state": "ID",
            "postal_code": "83850",
            "telephone_number": "208-755-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AJ TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A",
        "authorized_official_last_name": "SHAFER",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "208-755-1040"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "ID",
            "license": "PW213673B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Pinehurst, ID
• Providers in Pinehurst, ID by specialty
• Non-emergency Medical Transport (VAN) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.