Organization
COUNTRY VAN SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL ERICKSON (OWNER)
(507) 872-5300
Entity
Organization
Contact information
Practice address
700 NORTH MONROE, MINNEOTA, MN 56264
(507) 872-5300
Mailing address
700 NORTH MONROE, PO BOX 117, MINNEOTA, MN 56264
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
VYW819
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153546
MN DOT CERTIFICATE
MN
Enumeration date
02/04/2008
Last updated
02/04/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up