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PRAIRIE TRANSPORTATION 1 LLC NPI 1841640406


NPI Information

NPI: 1841640406
Provider Name: PRAIRIE TRANSPORTATION 1 LLC
Classification: Non-emergency Medical Transport (VAN) - 343900000X
Entity Type: Organization
Address:
2706 GRELLE AVE
LEWISTON, ID
ZIP 83501
Phone: (208) 798-1508
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PRAIRIE TRANSPORTATION 1 LLC is a non emergency medical transport van in Lewiston, ID. 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. PRAIRIE TRANSPORTATION 1 LLC NPI is 1841640406. The provider is registered as an organization entity type.

The provider's business location address is:

2706 GRELLE AVE
LEWISTON, ID
ZIP 83501-742
Phone: (208) 798-1508

The provider's authorized official is Scott Bagley .
The authorized official title is Owner and has the following contact phone number (208) 717-7179.

The enumeration date for this NPI number is 6/15/2016 and was last updated on 6/15/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1M0025887MEDICAIDIDAHO

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: 4/28/2024

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