MEDICARE: J&E QUICK TRIP TRANSPORTATION LLC

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	:	1518833532
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	J&E QUICK TRIP TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	5376 N 45TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53218-3419
Country	:	US
Telephone Number	:	414-554-1013
Fax Number	:

Provider Business Practice Location Address
First Line	:	5376 N 45TH ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53218-3419
Country	:	US
Telephone Number	:	414-554-1013
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JIMMY SIMMS
Credential	:
Telephone Number	:	414-554-1013

Provider Enumeration Date	:	10/15/2025
Last Update Date	:	10/15/2025

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