4 Boomers Transport, LLC
Organization Active NPI Non-emergency Medical Transport (VAN) · Hartland, WI
NPI 1023524014 · NPPES record last updated Dec 28, 2017
Key facts
- NPI
- 1023524014
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Non-emergency Medical Transport (VAN) 343900000X
- Legal business name
- 4 BOOMERS TRANSPORT, LLC
- Practice address
- 1020 James Dr Ste F
Hartland, WI 53029-8305 - Phone
- (262) 224-9000
- Fax
- (262) 446-2201
- NPI assigned
- Dec 28, 2017
- Organization subpart
- No
Authorized official
- Name
- Mrs. Bonita M Hare
- Title
- Vice President/Business Development
- Phone
- (262) 224-9000
National Provider Directory
Locations
1020 James Dr
Ste F
Hartland, WI 53029
Phone (262) 224-9000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | WI | Yes |
Addresses
Primary practice location
1020 James Dr Ste F
Hartland, WI 53029-8305
Mailing address
N88W35958 Mapleton Rd
Oconomowoc, WI 53066-9632
Phone (262) 224-9000
Other providers in Hartland, WI
- Paul Zeno Abler
- Advanced Therapeutic Counseling and Family Services Inc
- Aegis Group Practice LLC
- Ahp 002 LLC
- Alliance Counseling Center LLC
All providers in Hartland, WI · Non-emergency Medical Transport (VAN) in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.