Care Transport Service LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

CARE TRANSPORT SERVICE LLC

Practice address

931 Madison Ave Ste 203
Mankato, MN 56001-6995

Phone

(507) 344-8900

NPI assigned

Apr 28, 2021

Organization subpart

No

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

Authorized official

Name

Ricky BrockbergNPI 1235631052

Title

Owner

Phone

(507) 344-8900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Care Transport Service Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ricky Brockberg

  • Secured Medical Transport (VAN)
  • Mankato, MN
  • NPI 1235631052
  NPD Authorized official

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631836800000",
    "number": "1992387997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 MADISON AVE STE 203",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016995",
            "telephone_number": "507-344-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 MADISON AVE STE 203",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560016995",
            "telephone_number": "507-344-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE TRANSPORT SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-09-17",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "BROCKBERG",
        "authorized_official_first_name": "RICKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "507-344-8900"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UMPI",
            "identifier": "A668693400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Transport Service",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Care Transport Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Allie Frances Carlson, PA-C
• Barbara Carlson, LADC
• Dale L Carlson, OD

• Non-emergency Medical Transport (VAN) in Mankato, MN
• Providers in Mankato, MN by specialty
• Non-emergency Medical Transport (VAN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; 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.