Organization
CARE TRANSPORT SERVICE LLC
Active
Other names
Care Transport Service
Organization subpart
No
Provider details
NPI number
Authorized official
RICKY BROCKBERG (OWNER)
(507) 344-8900
Entity
Organization
Contact information
Practice address
931 MADISON AVE STE 203, MANKATO, MN 56001-6995
(507) 344-8900
Mailing address
931 MADISON AVE STE 203, MANKATO, MN 56001-6995
(507) 344-8900
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A668693400
UMPI
MN
Enumeration date
04/28/2021
Last updated
09/17/2021
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