MEDICARE: JATMON ENTERPRISES, 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	3416L0300X	Land Ambulance

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1884781	OTHER	PA	HIGHMARK BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	000000198969	OTHER	PA	UNISON HEALTH PLAN
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	50062517	OTHER	PA	CAPITAL BLUE CROSS

General Provider Information

NPI Number	:	1780638924
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JATMON ENTERPRISES, INC.

Provider Business Mailing Address
First Line	:	PO BOX 660
Second Line	:
City	:	HANOVER
State	:	PA
Zip	:	17331-0660
Country	:	US
Telephone Number	:	717-624-9099
Fax Number	:	717-624-7953

Provider Business Practice Location Address
First Line	:	4940 YORK RD
Second Line	:
City	:	NEW OXFORD
State	:	PA
Zip	:	17350-9401
Country	:	US
Telephone Number	:	717-624-9099
Fax Number	:	717-624-7953

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. GARY WINFREY
Credential	:
Telephone Number	:	717-624-9099

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	07/14/2008

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Directions to “JATMON ENTERPRISES, INC. ” Practice Location

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