| Organization Name: | TANGLE WATER NON EMERGENCY MEDICAL TRANSPORTATION |
| NPI Number: | 1356639884 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | IVAN QUINTAN JONES (OWNER) |
| Mailing Address: | 881 E Browns Canyon Rd Blanding |
| State: | UT US |
| Postal Code: | 845113320 |
| Phone Number: | 4356782968 |
| Fax Number: | |
| NPI Enumeration Date: | 07/18/2011 |
| NPI Last Update Date: | 01/23/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 347C00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Private Vehicle |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |