CJ CRITICAL CARE TRANSPORTATION SYSTEMS OF FLORIDA INC. NPI 1790780971

NPI Information

NPI: 1790780971
Provider Name: CJ CRITICAL CARE TRANSPORTATION SYSTEMS OF FLORIDA, INC.
Classification: Ambulance - 3416A0800X
Entity Type: Organization

Specialization: Air Transport

Address:
3792 E US HIGHWAY 90
LAKE CITY, FL
ZIP 32055
Phone: (386) 755-7128
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CJ CRITICAL CARE TRANSPORTATION SYSTEMS OF FLORIDA, INC. is an air transport ambulance in Lake City, FL. CJ CRITICAL CARE TRANSPORTATION SYSTEMS OF FLORIDA, INC. NPI is 1790780971. The provider is registered as an organization entity type.

The provider's business location address is:

3792 E US HIGHWAY 90
LAKE CITY, FL
ZIP 32055-406
Phone: (386) 755-7128
Fax: (386) 755-7204

The provider's authorized official is Mark Keene .
The authorized official title is National Director and has the following contact phone number (909) 915-2301.

The enumeration date for this NPI number is 6/15/2005 and was last updated on 2/4/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	3416A0800X	Ambulance	Air Transport	368	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	E4090	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
2	E5080	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA

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: 5/5/2024

NPI Synchronization or Removal

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