PRAIRIE TRANSPORTATION 1 LLC (NPI# 1841640406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841640406 |
Entity Type | Organization |
Organization Name | PRAIRIE TRANSPORTATION 1 LLC |
Practice Address |
2706 Grelle Ave Lewiston ID 83501-9742 |
Practice Telephone | 2087981508 |
Mailing Telephone | 2087981508 |
Enumeration Date | 2016-06-15 |
Last Update Date | 2016-06-15 |
Authorized Official Name | SCOTT BAGLEY (OWNER) |
Authorized Official Telephone | 2087177179 |
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 |
---|---|---|---|
ID | M0025887 | 05 |
Street Address |
2706 GRELLE AVE |
City | LEWISTON |
State | ID |
Zip Code | 83501-9742 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679193759 | Jacqueline M Aldrich | Behavior Technician | 3407 12th Street C, 3407 12th Street C, Lewiston, ID 83501 | 2020-04-20 |
1295228054 | Provident Foundation - Wedgewood Terrace LLC | Alzheimer Center (Dementia Center) | 2114 Vineyard Avenue, Lewiston, ID 83501 | 2018-06-07 |
1164945325 | Xiaofei Liu | Massage Therapist | 234 Thain Rd, Lewiston, ID 83501 | 2017-07-19 |
1467909879 | Sharon Thulon | Registered Nurse | 1118 F Street, Lewiston, ID 83501 | 2016-09-01 |
1821459496 | Gem State Endoscopy | Clinic/Center | 3709 14th Street, Lewiston, ID 83501 | 2016-03-10 |
1508264995 | Gary L. Grogan | Psychologist | 633 Main Street, B#1, Lewiston, ID 83501 | 2014-12-17 |
1003189366 | John Joseph Johnson | Dentist | 3510 12th Street, Suite #600, Lewiston, ID 83501 | 2012-02-17 |
1306134077 | Rowena Kathryn Jackson | Counselor | 531 Bryden Avenue, Lewiston, ID 83501 | 2011-07-15 |
1912290388 | Staci Leanne Truby | Massage Therapist | 717 'd' Street, Lewiston, ID 83501 | 2011-05-18 |
1093040685 | Sharie Ann Uhlorn | Registered Nurse | 1837 Alder Court, Lewiston, ID 83501 | 2009-10-15 |
Find all providers in zip 83501 |
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 |
---|---|---|---|---|
1811532443 | Al Ameery Transportation Services LLC | Non-emergency Medical Transport (VAN) | 50 Fairmount St Apt 98, Lewiston, ME 04240-4472 | 2019-11-06 |
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 |
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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.