R-LEGACY MEDICAL SERVICE TRANSPORTATION SERVICE LLC NPI 1649517640

NPI Information

  • NPI: 1649517640
  • Provider Name: R-LEGACY MEDICAL SERVICE TRANSPORTATION SERVICE, LLC
  • Classification: Secured Medical Transport (VAN) - 343800000X
  • Entity Type: Organization
  • Address: 6051 W BROWN DEER RD STE 205
    BROWN DEER, WI
    ZIP 53223
  • Phone: (414) 371-1034

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NPI Details

R-LEGACY MEDICAL SERVICE TRANSPORTATION SERVICE, LLC is a secured medical transport van in Brown Deer, WI. The provider is a public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse. R-LEGACY MEDICAL SERVICE TRANSPORTATION SERVICE, LLC NPI is 1649517640. The provider is registered as an organization entity type.

The provider's business location address is:

6051 W BROWN DEER RD STE 205
BROWN DEER, WI
ZIP 53223-263
Phone: (414) 371-1034
Fax: (414) 371-1051

The provider's authorized official is Douglas Lenell Nash .
The authorized official title is President and has the following contact phone number (414) 371-1034.

The enumeration date for this NPI number is 1/10/2013 and was last updated on 1/10/2013.

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
1343800000XSecured Medical Transport (VAN)WISCONSINYes

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
1122389MEDICAIDWISCONSIN

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: 3/30/2025

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