Abby Vans Inc. | NPI 1497967301

Key facts

NPI: 1497967301
Entity type: Organization (NPI type 2)
Primary specialty: Non-emergency Medical Transport (VAN) 343900000X
Legal business name: ABBY VANS INC.
Practice address: W5621 Todd Road
Neillsville, WI 54456
Phone: (715) 743-3364
Fax: (715) 743-7545
NPI assigned: May 4, 2007
Organization subpart: No

Authorized official

Name: Mr. Mark R Jones
Title: President
Phone: (715) 743-3364

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Non-emergency Medical Transport (VAN)	343900000X		WI	Yes

Addresses

Primary practice location

W5621 Todd Road
Neillsville, WI 54456

Mailing address

W5621 Todd Road
Neillsville, WI 54456
Phone (715) 743-3364

Other identifiers

Identifier	Type	State	Issuer
41421300	Medicaid	WI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497967301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W5621 TODD ROAD",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "54456",
            "telephone_number": "715-743-3364",
            "fax_number": "715-743-7545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W5621 TODD ROAD",
            "city": "NEILLSVILLE",
            "state": "WI",
            "postal_code": "54456",
            "telephone_number": "715-743-3364",
            "fax_number": "715-743-7545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABBY VANS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "715-743-3364",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41421300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Neillsville, WI

All providers in Neillsville, 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 Aug 22, 2020. 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.

Verify at the official NPI Registry.