Koeppen's Medical Transports

Primary specialty

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

Legal business name

KOEPPEN'S MEDICAL TRANSPORTS

Practice address

217 Industrial Ave
Clintonville, WI 54929-1177

Phone

(715) 823-5711

NPI assigned

May 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard Koeppen

Title

Owner

Phone

(715) 823-5711

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487868725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 INDUSTRIAL AVE",
            "city": "CLINTONVILLE",
            "state": "WI",
            "postal_code": "549291177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 INDUSTRIAL AVE",
            "city": "CLINTONVILLE",
            "state": "WI",
            "postal_code": "549291177",
            "telephone_number": "715-823-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOEPPEN'S MEDICAL TRANSPORTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOEPPEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "715-823-5711"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41419100",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John B. Dewolf, III, D.M.D., S.C. (Clintonville Family Dentistry)
• Karen Agnete Johnson, DDS
• Journey to Self Counseling LLC
• Michael Justman, PT
• Rosemary H Knapp, LPC
• Tara Korslin, PTA
• Chris Todd Krueger, D.C.
• Sarah Krueger, RN
• Angela Lynne Kuechler, DPT
• Curtis Leider

• Non-emergency Medical Transport (VAN) in Clintonville, WI
• Providers in Clintonville, WI by specialty
• Non-emergency Medical Transport (VAN) in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.