CJ Critical Care Transportation Systems of FL Inc

Primary specialty

Air AmbulanceTaxonomy code 3416A0800X

License

0451 Issued in FL

Legal business name

CJ CRITICAL CARE TRANSPORTATION SYSTEMS OF FL INC

Practice address

3792 E US Highway 90
Lake City, FL 32055-1406

Phone

(386) 755-7128

NPI assigned

May 21, 2008

Last updated

May 21, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

CJ CRITICAL CARE TRANSPORTATION SYSTEMS OF FL INCAs reported in NPPES

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

Authorized official

Name

Mark Keene

Title

National Director

Phone

(909) 915-2301

Specialties & licenses 1

Addresses

Part of

CJ Critical Care Transportation Systems of FL Inc

Locations

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1629235270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 CARNEGIE DR STE 206",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083536",
            "telephone_number": "800-499-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3792 E US HIGHWAY 90",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320551406",
            "telephone_number": "386-755-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJ CRITICAL CARE TRANSPORTATION SYSTEMS OF FL INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CJ CRITICAL CARE TRANSPORTATION SYSTEMS OF FL INC",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "KEENE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "NATIONAL DIRECTOR",
        "authorized_official_telephone_number": "909-915-2301"
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": "FL",
            "license": "0451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erik Edmund Chieuw, PHARMD
• Mohammed G Choudhury, MD
• Patricia Ann Christopher, RD
• John D. Chulik, M.D.
• Lorrae Elizabeth Cirino, AGACNP
• CJ Critical Care Transportation Systems of Florida, Inc.
• CKKS LLC
• Jeffery Claridy
• Jerome Claridy
• Amber Michelle Clark

• Air Ambulance in Lake City, FL
• Providers in Lake City, FL by specialty
• Air Ambulance in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.