MEDICARE: JB7 ALLIANCE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1134997893
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JB7 ALLIANCE INC

Provider Business Mailing Address
First Line	:	1815 SUBURBAN AVE STE 101
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55119-4398
Country	:	US
Telephone Number	:	651-815-1057
Fax Number	:

Provider Business Practice Location Address
First Line	:	1815 SUBURBAN AVE STE 101
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55119-4398
Country	:	US
Telephone Number	:	651-815-1057
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	JOSEPH MBITHI MUTUA
Credential	:
Telephone Number	:	651-815-1057

Provider Enumeration Date	:	12/12/2023
Last Update Date	:	12/12/2023

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Directions to “JB7 ALLIANCE INC ” Practice Location

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