Organization Active NPI

Gambit Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • Milwaukee, WI
National Provider Identifier
1790425296
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
GAMBIT TRANSPORTATION LLC
Practice address
3536 N 54TH Blvd
Milwaukee, WI 53216-2804
Phone
(414) 748-6607
NPI assigned
Mar 31, 2022
Last updated
Mar 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Authorized official

Name
Yolanda Bond
Title
Owner
Phone
(414) 748-6607

Specialties & licenses 1

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

Addresses

Primary practice location

3536 N 54TH Blvd
Milwaukee, WI 53216-2804

Mailing address

3536 N 54TH Blvd
Milwaukee, WI 53216-2804
Phone (414) 748-6607

Other identifiers 1

IdentifierTypeStateIssuer
1699426718MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1790425296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3536 N 54TH BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162804",
            "telephone_number": "414-748-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3536 N 54TH BLVD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532162804",
            "telephone_number": "414-748-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMBIT TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "BOND",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "414-748-6607"
    },
    "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": "1699426718",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; 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.