BRONCO EXPRESS COMPANY (NPI# 1508338823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508338823 |
| Entity Type | Organization |
| Organization Name | BRONCO EXPRESS COMPANY |
| Practice Address |
124 Lake St Kalamazoo MI 49001-2807 |
| Mailing Address |
6020 Briarcliff Path Apt A Kalamazoo MI 49009-7449 |
| Practice Telephone | 2693433000 |
| Practice Fax Number | 2693433309 |
| Mailing Telephone | 2693433000 |
| Mailing Fax Number | 2693433309 |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2018-12-27 |
| Authorized Official Name | DAVID ALLEN LEMMEN (OPERATIONS MANAGER) |
| Authorized Official Telephone | 2695486219 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MTM | B200 | 01 |
| Street Address |
124 LAKE ST |
| City | KALAMAZOO |
| State | MI |
| Zip Code | 49001-2807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568004372 | Tiffany Malory | Counselor | 2030 Portage St., Kalamazoo, MI 49001 | 2019-10-14 |
| 1770050502 | Trevor F Eisaman | Chiropractor | 1324 S Park St Suite #3, Kalamazoo, MI 49001 | 2018-10-30 |
| 1104318369 | Marathon Health LLC | Nurse Practitioner | 3520 Covington Rd, Kalamazoo, MI 49001 | 2018-06-04 |
| 1407374580 | Joel Damian Burnett | Counselor | 401 Howard St., Kalamazoo, MI 49001 | 2017-09-08 |
| 1538686449 | Amber Dawn Beauchamp | Counselor | 401 S. Howard St., Kalamazoo, MI 49001 | 2017-08-23 |
| 1740645381 | Integrated Spine and Pain Center Pllc | Durable Medical Equipment & Medical Supplies | 1324 S. Park Street, Kalamazoo, MI 49001 | 2015-12-28 |
| 1366825317 | Abigail Rose Franklin- Bly | Social Worker | 1608 Lake St., Kalamazoo, MI 49001 | 2015-07-08 |
| 1194108142 | Glenn Pohl | Social Worker | 1608 Lake Street, Kalamazoo, MI 49001 | 2015-07-08 |
| 1285996850 | Aisha Coulson-walters | Social Worker | 1501 Fulford St, Kalamazoo, MI 49001 | 2012-06-11 |
| 1912279282 | Custom Carelink, L.L.C. | Home Health | 2300 Portage St., Apt. 127, Kalamazoo, MI 49001 | 2012-02-02 |
| Find all providers in zip 49001 | ||||
| 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 |
|---|---|---|---|---|
| 1588292510 | 5-star Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 4420 Lilac Ln Apt 133, Kalamazoo, MI 49006-5769 | 2020-03-27 |
| 1982244679 | Swift Medical Transport, LLC | Non-emergency Medical Transport (VAN) | 3421 Lincolnshire Blvd, Kalamazoo, MI 49001-5095 | 2020-01-09 |
| 1922581511 | Great Guardian Transportation LLC | Non-emergency Medical Transport (VAN) | 4021 Nichols Rd, Kalamazoo, MI 49004-3107 | 2018-09-11 |
| 1164932851 | Sagecare LLC | Non-emergency Medical Transport (VAN) | 417 Forest St # 416, Kalamazoo, MI 49001-2747 | 2017-10-07 |
| 1275757981 | Hall Transit | Non-emergency Medical Transport (VAN) | 2588 Hunters Pt, Kalamazoo, MI 49048-6115 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871191965 | Jaouad Aziam | Non-emergency Medical Transport (VAN) | 1729 Vickery Rd, Portage, MI 49002-7605 | 2020-10-12 |
| 1316544828 | Outside The Box Transportation | Non-emergency Medical Transport (VAN) | 21421 Sloan Dr Apt 205, Harper Woods, MI 48225-2430 | 2020-10-07 |
| 1861099483 | Greater Heights Transportation LLC | Non-emergency Medical Transport (VAN) | 15565 Northland Dr E Ste 828e, Southfield, MI 48075-5361 | 2020-10-06 |
| 1255948253 | Promise Care Solution LLC | Non-emergency Medical Transport (VAN) | 1000 John R Rd Ste 207, Troy, MI 48083-4317 | 2020-09-24 |
| 1699389197 | Array Transportation of Michigan LLC | Non-emergency Medical Transport (VAN) | 4344 Springle St, Detroit, MI 48215-2238 | 2020-09-02 |
| 1538770565 | Alimar Transportation Services, Inc. | Non-emergency Medical Transport (VAN) | 24585 Forterra Dr, Warren, MI 48089-4372 | 2020-08-13 |
| 1861000820 | Vanessa R Davis | Non-emergency Medical Transport (VAN) | 2352 Windy Ridge Dr, Muskegon, MI 49442-1474 | 2020-07-16 |
| 1972111987 | Simply Dependable Transportation,llc | Non-emergency Medical Transport (VAN) | 22096 Firwood Ave, Eastpointe, MI 48021-2120 | 2020-07-15 |
| 1790307791 | Medical Direct Transportation LLC | Non-emergency Medical Transport (VAN) | 28671 Hoover Rd Ste B, Warren, MI 48093-4105 | 2020-05-12 |
| 1992332480 | Brian Taylor | Non-emergency Medical Transport (VAN) | 1611 Gorham Dr Se, Grand Rapids, MI 49506-4516 | 2020-03-24 |
| Find all providers with the same taxonomy | ||||
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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.