Organization Active NPI

Green River Trans LLC

  • Non-emergency Medical Transport (VAN)
  • Green Bay, WI
National Provider Identifier
1699503144
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
GREEN RIVER TRANS LLC
Practice address
1057 Roland LN Apt 7
Green Bay, WI 54303-6041
Phone
(920) 713-1723
NPI assigned
Jul 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Authorized official

Name
Mokhtar Yosef
Title
Member/Manager
Phone
(920) 713-1723

Specialties & licenses 1

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

Addresses

Primary practice location

1057 Roland LN Apt 7
Green Bay, WI 54303-6041

Mailing address

1057 Roland LN Apt 7
Green Bay, WI 54303-6041
Phone (920) 713-1723

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1721865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1699503144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1057 ROLAND LN APT 7",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543036041",
            "telephone_number": "920-713-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1057 ROLAND LN APT 7",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543036041",
            "telephone_number": "920-713-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN RIVER TRANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-25",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "YOSEF",
        "authorized_official_first_name": "MOKHTAR",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "920-713-1723"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; 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.