Provider Demographics
NPI:1902083710
Name:JFK TRANSPORTATION CO., INC.
Entity Type:Organization
Organization Name:JFK TRANSPORTATION CO., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:
Authorized Official - Last Name:WATSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-543-4629
Mailing Address - Street 1:980 W. 17TH STREET
Mailing Address - Street 2:SUITE B
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92706-3554
Mailing Address - Country:US
Mailing Address - Phone:714-543-4629
Mailing Address - Fax:714-543-0306
Practice Address - Street 1:980 W. 17TH STREET
Practice Address - Street 2:SUITE B
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92706-3554
Practice Address - Country:US
Practice Address - Phone:714-543-4629
Practice Address - Fax:714-543-0306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-23
Last Update Date:2010-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)