Active NPI
Union West, LLC
- Non-emergency Medical Transport (VAN)
- Fond Du Lac, WI
National Provider Identifier
1568928703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- UNION WEST, LLC
- Practice address
- N5115 Oak Hill Rd
Fond Du Lac, WI 54937-7922 - Phone
- (608) 212-1904
- NPI assigned
- Feb 12, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tou Lor
- Title
- Owner
- Phone
- (608) 212-1904
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
N5115 Oak Hill Rd
Fond Du Lac, WI 54937-7922
Mailing address
N5115 Oak Hill Rd
Fond Du Lac, WI 54937-7922
Phone (608) 212-1904
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023572500 | Medicaid | WI |
Other names 1
- Union West, LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1549929600000",
"number": "1568928703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "N5115 OAK HILL RD",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "549377922",
"telephone_number": "608-212-1904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "N5115 OAK HILL RD",
"city": "FOND DU LAC",
"state": "WI",
"postal_code": "549377922",
"telephone_number": "608-212-1904"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNION WEST, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-12",
"last_updated": "2019-02-12",
"status": "A",
"authorized_official_last_name": "LOR",
"authorized_official_first_name": "TOU",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "608-212-1904"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1023572500",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Union West, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Fond Du Lac, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.