Organization Active NPI

Straight River Med Van

  • Non-emergency Medical Transport (VAN)
  • Owatonna, MN
National Provider Identifier
1174488217
Registry record updated Dec 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
STRAIGHT RIVER MED VAN
Practice address
770 25TH St NE
Owatonna, MN 55060-2482
Phone
(507) 363-5552
Fax
(507) 363-5552
NPI assigned
Dec 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Raphael Jean Lieske
Title
Owner
Phone
(507) 363-5552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

770 25TH St NE
Owatonna, MN 55060-2482

Mailing address

770 25TH St NE
Owatonna, MN 55060-2482
Phone (507) 363-5552

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1766361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766361600000",
    "number": "1174488217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 25TH ST NE",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602482",
            "telephone_number": "507-363-5552",
            "fax_number": "507-363-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 25TH ST NE",
            "city": "OWATONNA",
            "state": "MN",
            "postal_code": "550602482",
            "telephone_number": "507-363-5552",
            "fax_number": "507-363-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRAIGHT RIVER MED VAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-22",
        "last_updated": "2025-12-22",
        "certification_date": "2025-12-21",
        "status": "A",
        "authorized_official_last_name": "LIESKE",
        "authorized_official_first_name": "RAPHAEL",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-363-5552"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owatonna, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.