Green Lake County Senior Transportation, Inc

Primary specialty

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

Legal business name

GREEN LAKE COUNTY SENIOR TRANSPORTATION, INC

Practice address

465 Hill St
Green Lake, WI 54941-8829

Phone

(847) 942-8501

NPI assigned

Jan 8, 2025

Last updated

Jan 8, 2025By 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

Mark Wilton

Title

Executive Director

Phone

(847) 942-8501

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1497565014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 HILL ST",
            "city": "GREEN LAKE",
            "state": "WI",
            "postal_code": "549418829",
            "telephone_number": "847-942-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 HILL ST",
            "city": "GREEN LAKE",
            "state": "WI",
            "postal_code": "549418829",
            "telephone_number": "847-942-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN LAKE COUNTY SENIOR TRANSPORTATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "WILTON",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "847-942-8501"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Green Lake (Green Lake County DHHS)
• Shirley J. Dawson, M.D.
• Holley Dornfeld, SAC-IT
• Melanie Amanda Ellis, PMHNP-BC
• Nancy Jean Gimenez, RN, BSN, MS
• Green Lake Medical Clinic
• Green Lake Medical Clinic , S.C.
• Green Lake School District
• Hagen Chiropractic, LTD.
• Kellie Elizabeth Helmer, MSN, APNP, PMHNP-BC

• Non-emergency Medical Transport (VAN) in Green Lake, WI
• Providers in Green Lake, 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 Jan 8, 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.