Organization Active NPI

Matrix World Organization Inc

  • Non-emergency Medical Transport (VAN)
  • Green Bay, WI
National Provider Identifier
1841896941
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MATRIX WORLD ORGANIZATION INC
Doing business as
MWO INC
Practice address
1125 Lyndon St
Green Bay, WI 54303-3843
Phone
(920) 770-4042
Fax
(920) 770-4042
NPI assigned
Dec 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Authorized official

Name
Mr. Saint Luke B Her
Title
Executive Director
Phone
(920) 784-8791

Specialties & licenses 1

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

Addresses

Primary practice location

1125 Lyndon St
Green Bay, WI 54303-3843

Mailing address

1125 Lyndon St
Green Bay, WI 54303-3843
Phone (920) 770-4042

Other names 1

  • MWO INC 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": "1607126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1841896941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 LYNDON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543033843",
            "telephone_number": "920-770-4042",
            "fax_number": "920-770-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 LYNDON ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543033843",
            "telephone_number": "920-770-4042",
            "fax_number": "920-770-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATRIX WORLD ORGANIZATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-05",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "HER",
        "authorized_official_first_name": "SAINT LUKE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "920-784-8791",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MWO INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 17, 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.