STRAIGHT RIVER MED VAN NPI 1174488217

NPI Information

  • NPI: 1174488217
  • Provider Name: STRAIGHT RIVER MED VAN
  • Classification: Non-emergency Medical Transport (VAN) - 343900000X
  • Entity Type: Organization
  • Address: 770 25TH ST NE
    OWATONNA, MN
    ZIP 55060
  • Phone: (507) 363-5552

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NPI Details

STRAIGHT RIVER MED VAN is a non emergency medical transport van in Owatonna, MN. 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. STRAIGHT RIVER MED VAN NPI is 1174488217. The provider is registered as an organization entity type.

The provider's business location address is:

770 25TH ST NE
OWATONNA, MN
ZIP 55060-482
Phone: (507) 363-5552
Fax: (507) 363-5552

The provider's authorized official is Raphael Jean Lieske .
The authorized official title is Owner and has the following contact phone number (507) 363-5552.

The enumeration date for this NPI number is 12/22/2025 and was last updated on 12/22/2025.

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)Yes

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: 11/21/2025

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