Medivan LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

MEDIVAN LLC

Doing business as

The Medivan

Practice address

520 Beaver Ave
Royal Oak, MI 48073-4128

Phone

(810) 338-0353

NPI assigned

Aug 6, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Iain F. McKendrick

Title

Owner, Official Signer

Phone

(810) 338-0353

Specialties & licenses 1

Addresses

Other names 1

• The Medivan Doing business as

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

{
    "created_epoch": "1533513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1396223863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 BEAVER AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480734128",
            "telephone_number": "810-338-0353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 BEAVER AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480734128",
            "telephone_number": "810-338-0353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDIVAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-06",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "MCKENDRICK",
        "authorized_official_first_name": "IAIN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER, OFFICIAL SIGNER",
        "authorized_official_telephone_number": "810-338-0353",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medivan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Non-emergency Medical Transport (VAN) in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Non-emergency Medical Transport (VAN) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.