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Organization

PINE CREEK TRANSPORTATION SERVICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID ALLEN BURNELL I (PRESIDENT)
(715) 662-2028
Entity
Organization

Contact information

Practice address
N7260 S DAVIS RD, TAYLOR, WI 54659-8309
(715) 662-2028
(715) 662-3022
Mailing address
N7260 S DAVIS RD, TAYLOR, WI 54659-8309
(715) 662-2028
(715) 662-3022

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41490900
WI
Enumeration date
07/19/2007
Last updated
07/19/2007
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