Organization Active NPI

Recovery Medical Transport

  • Non-emergency Medical Transport (VAN)
  • Racine, WI
National Provider Identifier
1669632543
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
41450300 Issued in WI
Legal business name
RECOVERY MEDICAL TRANSPORT
Practice address
2500 Pinehurst Ave
Racine, WI 53403-3462
Phone
(262) 939-5542
Fax
(262) 554-6462
NPI assigned
Jun 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Kurt Lonnie Kowalski
Title
Owner
Phone
(262) 939-5542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 41450300 WI Primary

Addresses

Primary practice location

2500 Pinehurst Ave
Racine, WI 53403-3462

Mailing address

2500 Pinehurst Ave
Racine, WI 53403-3462
Phone (262) 939-5542

Other identifiers 3

IdentifierTypeStateIssuer
590305OtherWIDEAN HEALTH PLAN SOUTH EAST
590305OtherWICHILDRENS COMMUNITY HEALTH PLAN
41450300MedicaidWI

Other names 1

  • Kurt L Kowalski Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1669632543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 PINEHURST AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534033462",
            "telephone_number": "262-939-5542",
            "fax_number": "262-554-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 PINEHURST AVE",
            "city": "RACINE",
            "state": "WI",
            "postal_code": "534033462",
            "telephone_number": "262-939-5542",
            "fax_number": "262-554-6462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY MEDICAL TRANSPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "KOWALSKI",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "LONNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-939-5542"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "WI",
            "license": "41450300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH PLAN SOUTH EAST",
            "identifier": "590305",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILDRENS COMMUNITY HEALTH PLAN",
            "identifier": "590305",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41450300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kurt L Kowalski",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Racine, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.