Organization
AGEWELL TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JAMES JOHNSON (OWNER)
(208) 403-6191
Entity
Organization
Contact information
Practice address
5676 RAMMELL RD STE C, IDAHO FALLS, ID 83401-1041
(208) 244-0040
Mailing address
5676 RAMMELL RD STE C, IDAHO FALLS, ID 83401-1041
(208) 244-0040
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
344600000X
Taxi
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
07/09/2025
Last updated
07/09/2025
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