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SJ TRANSPORTATION NPI 1568646016


NPI Information

NPI: 1568646016
Provider Name: SJ TRANSPORTATION
Classification: Secured Medical Transport (VAN) - 343800000X
Entity Type: Organization
Address:
2515 N 48TH ST
MILWAUKEE, WI
ZIP 53210
Phone: (414) 349-3510
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SJ TRANSPORTATION is a secured medical transport van in Milwaukee, WI. The provider is a public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse. SJ TRANSPORTATION NPI is 1568646016. The provider is registered as an organization entity type.

The provider's business location address is:

2515 N 48TH ST
MILWAUKEE, WI
ZIP 53210-846
Phone: (414) 349-3510

The provider's authorized official is Sylvester Jackson .
The authorized official title is President and has the following contact phone number (414) 349-3510.

The enumeration date for this NPI number is 12/19/2007 and was last updated on 12/19/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1343800000XSecured Medical Transport (VAN)J2507806521506WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
141479800MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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