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4 BOOMERS TRANSPORT LLC NPI 1023524014


NPI Information

NPI: 1023524014
Provider Name: 4 BOOMERS TRANSPORT, LLC
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Address:
1020 JAMES DR STE F
HARTLAND, WI
ZIP 53029
Phone: (262) 224-9000
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4 BOOMERS TRANSPORT, LLC is a non emergency medical transport van in Hartland, WI. The provider is 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. 4 BOOMERS TRANSPORT, LLC NPI is 1023524014. The provider is registered as an organization entity type.

The provider's business location address is:

1020 JAMES DR STE F
HARTLAND, WI
ZIP 53029-305
Phone: (262) 224-9000
Fax: (262) 446-2201

The provider's authorized official is Bonita M Hare .
The authorized official title is Vice President/business Development and has the following contact phone number (262) 224-9000.

The enumeration date for this NPI number is 12/28/2017 and was last updated on 12/28/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1343900000XNon-emergency Medical Transport (VAN)WISCONSINYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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