MR. JERRY LEE BOLES JR. (NPI# 1639645211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639645211 |
| Entity Type | Individual |
| Full Name | MR. JERRY LEE BOLES JR. |
| Practice Address |
1026 Beall Ln Central Point OR 97502-2717 |
| Practice Telephone | 5419414085 |
| Mailing Telephone | 5419414085 |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2018-10-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Street Address |
1026 BEALL LN |
| City | CENTRAL POINT |
| State | OR |
| Zip Code | 97502-2717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760958342 | Rogue Valley Medical Transport | Non-emergency Medical Transport (VAN) | 1026 Beall Ln, Central Point, OR 97502-2717 | 2018-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013459734 | Rebuilding Together Rogue Valley | Home Health | 421 Stone Pointe Drive, Central Point, OR 97502 | 2016-11-11 |
| 1801262431 | Kathleen Marie Vandevender | Behavioral Analyst | 153 Wind Song Drive, Central Point, OR 97502 | 2015-08-18 |
| 1356735112 | Nikole Mcewen | Behavioral Analyst | 2030 Taylor Rd, Central Point, OR 97502 | 2015-03-19 |
| 1619368636 | La Clinica Del Valle Family Health Care Center Inc. | Clinic/Center | 200 W Pine St, Central Point, OR 97502 | 2015-02-12 |
| 1124429360 | Sarah Jean North | Massage Therapist | 2463 Saint James Way, Central Point, OR 97502 | 2014-09-08 |
| 1972928034 | Jennifer Joe-anne Marks | Registered Nurse | 312 Oak St. Ste #205, Central Point, OR 97502 | 2014-02-26 |
| 1578991527 | Lawrence Gerald Whittington | Behavioral Analyst | 6340 Honey Tree Ln., Central Point, OR 97502 | 2013-10-29 |
| 1093141582 | Samuel Joseph Hicks | Behavioral Analyst | 4434 Corey Road, Central Point, OR 97502 | 2013-09-17 |
| 1598191074 | Kathie Ellen Moss | Behavioral Analyst | 5315 Teresa Way, Central Point, OR 97502 | 2013-09-17 |
| 1831525336 | Becky Kay Lunsford | Behavioral Analyst | 640 S. 2nd Street, Family Solutions, Central Point, OR 97502 | 2013-09-17 |
| Find all providers in zip 97502 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760958342 | Rogue Valley Medical Transport | Non-emergency Medical Transport (VAN) | 1026 Beall Ln, Central Point, OR 97502-2717 | 2018-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144868738 | Downtowncoffeeshoptaxi LLC | Non-emergency Medical Transport (VAN) | 332 10th St, Astoria, OR 97103-4511 | 2019-12-15 |
| 1164088050 | Cody A Hunter | Non-emergency Medical Transport (VAN) | 18322 E Alsea Hwy, Tidewater, OR 97390-9641 | 2019-05-15 |
| 1578026613 | Serve All Oregon Medical Transportation, LLP | Non-emergency Medical Transport (VAN) | 1035 Sw 163rd Ave Apt 204, Beaverton, OR 97006-6819 | 2019-04-06 |
| 1487125449 | 1 Care Transit LLP | Non-emergency Medical Transport (VAN) | 326 Ne Russet St Apt 14, Portland, OR 97211-2852 | 2018-12-16 |
| 1457828824 | Meraki Transport | Non-emergency Medical Transport (VAN) | 305 Enterprise Ave, Merlin, OR 97532-9802 | 2018-10-24 |
| 1912482423 | John Daniel Enders | Non-emergency Medical Transport (VAN) | 1844 S Ivy Cir, Medford, OR 97501-4083 | 2018-10-01 |
| 1154804003 | Alexander Loyola | Non-emergency Medical Transport (VAN) | 3250 Turner Rd Se, Salem, OR 97302-2033 | 2018-09-06 |
| 1962996553 | Erin Ann Wakefield | Non-emergency Medical Transport (VAN) | 2425 Fisher Rd Ne, Salem, OR 97305 | 2018-06-18 |
| 1720572480 | Tucker & Fisher Management LLC | Non-emergency Medical Transport (VAN) | 8567 N Oswego Ave, Portland, OR 97203-3140 | 2018-06-18 |
| 1538651252 | Caring Hands 1 Inc. | Non-emergency Medical Transport (VAN) | 2022 Lone Fir Ct Se, Salem, OR 97306-1074 | 2018-05-30 |
| Find all providers with the same taxonomy | ||||
| City | CENTRAL POINT |
| Zip Code | 97502 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.