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PINE CREEK TRANSPORTATION SERVICE LLC NPI 1174723043


NPI Information

NPI: 1174723043
Provider Name: PINE CREEK TRANSPORTATION SERVICE LLC
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Address:
N7260 S DAVIS RD
TAYLOR, WI
ZIP 54659
Phone: (715) 662-2028
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PINE CREEK TRANSPORTATION SERVICE LLC is a non emergency medical transport van in Taylor, 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. PINE CREEK TRANSPORTATION SERVICE LLC NPI is 1174723043. The provider is registered as an organization entity type.

The provider's business location address is:

N7260 S DAVIS RD
TAYLOR, WI
ZIP 54659-309
Phone: (715) 662-2028
Fax: (715) 662-3022

The provider's authorized official is David Allen Burnell .
The authorized official title is President and has the following contact phone number (715) 662-2028.

The enumeration date for this NPI number is 7/19/2007 and was last updated on 7/19/2007.


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

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
141490900MEDICAIDWISCONSIN

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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