ICWM LLC NPI 1457558520

NPI Information

  • NPI: 1457558520
  • Provider Name: ICWM, LLC
  • Classification: Non-emergency Medical Transport (VAN) - 343900000X
  • Entity Type: Organization
  • Doing Business As: WCI TRANSPORTATION SERVICE
  • Address: 59742 WREN LN
    SOUTH BEND, IN
    ZIP 46614
  • Phone: (574) 231-1998

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NPI Details

ICWM, LLC is a non emergency medical transport van in South Bend, IN. 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. ICWM, LLC NPI is 1457558520. The provider is registered as an organization entity type.
The provider Is Doing Business As Wci Transportation Service.

The provider's business location address is:

59742 WREN LN
SOUTH BEND, IN
ZIP 46614-007
Phone: (574) 231-1998
Fax: (574) 231-1997

The provider's authorized official is Walter Willard Ballard .
The authorized official title is President and has the following contact phone number (574) 383-1751.

The enumeration date for this NPI number is 6/30/2007 and was last updated on 2/21/2008.

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)USDOT 1427478 ININDIANAYes

What is NPI?

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This page was last updated on: 11/21/2025

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