Provider Demographics
NPI:1487451282
Name:J. MEDI TRANSPORT
Entity type:Organization
Organization Name:J. MEDI TRANSPORT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:CHANA
Authorized Official - Last Name:HINES
Authorized Official - Suffix:
Authorized Official - Credentials:MD, MBA
Authorized Official - Phone:919-986-2092
Mailing Address - Street 1:2106 PORTSMOUTH DR
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-4838
Mailing Address - Country:US
Mailing Address - Phone:919-986-2092
Mailing Address - Fax:
Practice Address - Street 1:2106 PORTSMOUTH DR
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-4838
Practice Address - Country:US
Practice Address - Phone:919-986-2092
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-27
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)