LAKES MEDI-VAN INC. NPI 1467593251

NPI Information

LAKES MEDI-VAN INC. is a non emergency medical transport van in Detroit Lakes, 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. LAKES MEDI-VAN INC. NPI is 1467593251. The provider is registered as an organization entity type.

The provider's business location address is:

16777 LONGVIEW DRIVE
DETROIT LAKES, MN
ZIP 56501
Phone: (800) 422-0976
Fax: (877) 417-4380

The provider's authorized official is Jeffrey Nustad .
The authorized official title is Owner, President and has the following contact phone number (800) 422-0976.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 8/28/2007.

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:

Other Identifiers

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