Active NPI
Evergreen Medical Transport LLC
- Non-emergency Medical Transport (VAN)
- Stoughton, WI
National Provider Identifier
1902719180
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- EVERGREEN MEDICAL TRANSPORT LLC
- Practice address
- 881 Norman Dr
Stoughton, WI 53589-3055 - Phone
- (952) 457-5408
- NPI assigned
- Sep 28, 2026
- Last updated
- Sep 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hassan Sharif
- Title
- Owner/Manager
- Phone
- (952) 457-5408
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | NU | Primary |
Addresses
Primary practice location
881 Norman Dr
Stoughton, WI 53589-3055
Mailing address
881 Norman Dr
Stoughton, WI 53589-3055
Phone (952) 457-5408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1790553600000",
"number": "1902719180",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "881 NORMAN DR",
"city": "STOUGHTON",
"state": "WI",
"postal_code": "535893055",
"telephone_number": "952-457-5408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "881 NORMAN DR",
"city": "STOUGHTON",
"state": "WI",
"postal_code": "535893055",
"telephone_number": "952-457-5408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVERGREEN MEDICAL TRANSPORT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-28",
"last_updated": "2026-09-28",
"certification_date": "2026-09-27",
"status": "A",
"authorized_official_last_name": "SHARIF",
"authorized_official_first_name": "HASSAN",
"authorized_official_title_or_position": "OWNER/MANAGER",
"authorized_official_telephone_number": "952-457-5408"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stoughton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.