Organization Active NPI

Union West, LLC

  • Non-emergency Medical Transport (VAN)
  • Fond Du Lac, WI
National Provider Identifier
1568928703
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
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

Updated by the provider on Feb 12, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1023572500MedicaidWI

Other names 1

  • Union West, LLC Former legal business name

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.