Organization
ADVANCED MEDICAL TRANSPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRANT BORNBACH (MANAGING MEMBER)
(715) 401-4796
Entity
Organization
Contact information
Practice address
1831 N STEVENS ST, RHINELANDER, WI 54501-2163
(715) 401-4796
Mailing address
PO BOX 344, RHINELANDER, WI 54501-0344
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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