Bison Express Shuttle LLC

Primary specialty

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

Legal business name

BISON EXPRESS SHUTTLE LLC

Practice address

12557 S Frontage Rd
Yuma, AZ 85367-5720

Phone

(928) 345-4615

Fax

(928) 345-9412

NPI assigned

Feb 14, 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

Mr. Robert J Larsen Jr.

Title

Ownergeneralmgr

Phone

(928) 345-4615

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518000157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12557 S FRONTAGE RD",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853675720",
            "telephone_number": "928-345-4615",
            "fax_number": "928-345-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12557 S FRONTAGE RD",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853675720",
            "telephone_number": "928-345-4615",
            "fax_number": "928-345-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BISON EXPRESS SHUTTLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LARSEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNERGENERALMGR",
        "authorized_official_telephone_number": "928-345-4615",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "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": "GROUP BILLER NUMBER",
            "identifier": "113014",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MTBA PROVIDER NUMBER",
            "identifier": "113023",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bio Family Clinic Inc
• Bio Family Clinic Inc
• Bio Family Clinic Inc
• Harmony Raye Birdsong, M.A.
• Matthew G Bishop, MD
• BJD Inc (Radiant Adult Medical Group)
• James Allen Black, MD
• Maria Blanco, BS FSHD
• Blue Horizons Clinic
• Blue Ocean Ventures PLLC

• Non-emergency Medical Transport (VAN) in Yuma, AZ
• Providers in Yuma, AZ by specialty
• Non-emergency Medical Transport (VAN) in Arizona

• 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.