WILDWOOD L.L.C (NPI# 1477904381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477904381 |
| Entity Type | Organization |
| Organization Name | WILDWOOD L.L.C |
| Practice Address |
614 French Point Dr Bonners Ferry ID 83805-5964 |
| Practice Telephone | 7608850700 |
| Mailing Telephone | 7608850700 |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2016-06-22 |
| Authorized Official Name | MS. VICTORIA ROGERS (OWNER/OPERATOR) |
| Authorized Official Telephone | 7608850700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Wildwood L.L.C. | 4107 Courthouse Road, Chesterfield, Virginia 23832 |
| Oregon Corporations, Companies and Business Names | WILDWOOD LADIES GOLF ASSOCIATION | 21881 Nw St Helens Rd, Portland, OR 97231 |
| Washington State Corporations | WILDWOOD LAKE, L.L.C. | 12815 Canyon Rd E Ste F, Puyallup, WA 98373 |
| Indiana Business Entities | WILDWOOD LAKE, LLC | 2191 E New Discovery Rd, Rockville, IN 47872 |
| Colorado Business Entities | WILDWOOD LAND, LLC | 1601 Arapahoe Street, Suite 700, Denver, CO 80202 |
| Colorado Business Entities | WILDWOOD LANE INVESTMENTS, LLC | Po Box 1784, Castle Rock, CO 80104 |
| Oregon Corporations, Companies and Business Names | WILDWOOD LAW GROUP LLC | 520 Sw Yamhill St Ste 200, Portland, OR 97204 |
| Connecticut Business Registrations | WILDWOOD LAWN CARE, LLC | 105 Brown Street, Middletown, CT 06457 |
| Washington State Corporations | WILDWOOD LLC | 6241 Walnut Way, Clinton, WA 98236-9507 |
| Colorado Business Entities | Wildwood Lodge Owner LLC | 60 Columbus Circle, New York, NY 10023 |
| Street Address |
614 FRENCH POINT DR |
| City | BONNERS FERRY |
| State | ID |
| Zip Code | 83805-5964 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366990996 | Nicole Diana Madill | Counselor | 687 Cody Street, Bonners Ferry, ID 83805 | 2016-09-12 |
| 1154770295 | Rachel Meiland Webster | Social Worker | 6686 Augusta Bldg 100, Bonners Ferry, ID 83805 | 2016-06-09 |
| 1205211786 | Robert Rossi | Social Worker | Kaniksu Health Services, 6615 Comanche St, Bonners Ferry, ID 83805 | 2015-07-24 |
| 1154660041 | Mark R. Barker, O.d.p.c. | Optometrist | 7177 Main St., Bonners Ferry, ID 83805 | 2013-02-12 |
| 1003182668 | Jessica Faye Horricks | Dentist | 6615 Commanche, Bonners Ferry, ID 83805 | 2012-03-28 |
| 1427334929 | Tanya Marie Allmaras | Physician Assistant | 6635 Comanche Street, Bonners Ferry, ID 83805 | 2011-10-27 |
| 1114259769 | Joshua Olen Shelton | Chiropractor | 6389 Bonner St., Bonners Ferry, ID 83805 | 2010-02-08 |
| 1558690644 | April C Christman | Social Worker | 6615 Comanche Street, Bonners Ferry, ID 83805 | 2009-12-18 |
| 1407006067 | Denys Taipale-knight | Counselor | 385 Moose Ridge Lane, Bonners Ferry, ID 83805 | 2008-09-19 |
| 1013126457 | John Pierce Brownlee Jr. | Registered Nurse | 6640 Kaniksu Street, Boundary Community Hospital, Bonners Ferry, ID 83805 | 2007-05-22 |
| Find all providers in zip 83805 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639714025 | Jonathan Amissa | Non-emergency Medical Transport (VAN) | 1573 S Riverstone Ln Apt 303, Boise, ID 83706-6542 | 2019-11-09 |
| 1336613306 | Suzanne R Baker | Non-emergency Medical Transport (VAN) | 1190 Twin Butte Rd, Menan, ID 83434-5117 | 2019-01-14 |
| 1598263394 | Frances Hammons | Non-emergency Medical Transport (VAN) | 60 East 2nd Ave, Glenns Ferry, ID 83623 | 2018-01-26 |
| 1740799832 | Freedom Shuttle Service Inc | Non-emergency Medical Transport (VAN) | 635 E State Ave, Meridian, ID 83642-2354 | 2017-09-21 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1982144192 | Fran's Affordable Rides | Non-emergency Medical Transport (VAN) | 3190 Nw Lancaster Ln, #33, Mountain Home, ID 83647-5778 | 2017-03-07 |
| 1942740857 | Idaho Transport LLC | Non-emergency Medical Transport (VAN) | 9616 W Bienapfl Dr, Boise, ID 83709-4709 | 2017-02-27 |
| 1750827770 | Road Runner Shuttle, LLC | Non-emergency Medical Transport (VAN) | 310 Moonlite Dr, Apt 25, Idaho Falls, ID 83402-2359 | 2017-01-14 |
| 1417493560 | Joann's Shuttle | Non-emergency Medical Transport (VAN) | 6555 N Old Highway 191, Malad City, ID 83252-5072 | 2017-01-13 |
| 1376085795 | Integrity Plus Transportation | Non-emergency Medical Transport (VAN) | 6616 S Cheshire Ave, Boise, ID 83709-6582 | 2016-11-16 |
| Find all providers with the same taxonomy | ||||
| City | BONNERS FERRY |
| Zip Code | 83805 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.