Organization
CAREVAN TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIRGIT OLSON (MEMBER/OWNER)
(608) 547-1364
Entity
Organization
Contact information
Practice address
N7294 TROPHY DR, NEW LISBON, WI 53950-9561
(608) 547-1364
Mailing address
N7294 TROPHY DR, NEW LISBON, WI 53950-9561
(608) 547-1364
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41502100
—
WI
Enumeration date
10/29/2008
Last updated
10/29/2008
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