Bronco Express Company

Primary specialty

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

Legal business name

BRONCO EXPRESS COMPANY

Practice address

124 Lake St
Kalamazoo, MI 49001-2807

Phone

(269) 343-3000

Fax

(269) 343-3309

NPI assigned

Dec 27, 2018

Organization subpart

No

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

Authorized official

Name

David Allen Lemmen

Title

Operations Manager

Phone

(269) 548-6219

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545868800000",
    "number": "1508338823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6020 BRIARCLIFF PATH APT A",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490097449",
            "telephone_number": "269-343-3000",
            "fax_number": "269-343-3309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 LAKE ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490012807",
            "telephone_number": "269-343-3000",
            "fax_number": "269-343-3309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRONCO EXPRESS COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-27",
        "last_updated": "2018-12-27",
        "status": "A",
        "authorized_official_last_name": "LEMMEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "269-548-6219"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MTM",
            "identifier": "B200",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Kalamazoo, MI
• Providers in Kalamazoo, 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 Dec 27, 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.