National Provider Identifier Database

LAKES MEDI VAN INC
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.


Contact Information

LAKES MEDI-VAN INC.
16777 LONGVIEW DRIVE
DETROIT LAKES, MN56501
Phone: 800-422-0976
Fax: 877-417-4380
Website:
Specialty Taxonomy Code
* Non-emergency Medical Transport (VAN) 343900000X

* Indicates primary specialty

NPI Profile & details for LAKES MEDI-VAN INC.

NPI Number 1467593251
Legal business name
LBN
LAKES MEDI-VAN INC.
Authorized official JEFFREY NUSTAD - (OWNER, PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 02/12/2007
Last updated 08/28/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 153577
  • MN License #: 153579
  • MN License #: 153581
  • MN License #: 153619
  • MN License #: 153636
  • ND Medicaid: 56330
  • SD Medicaid: 9030210
  • MN Other: 11033LA BLUE PLUS
  • MN Other: 16726 HEALTH PARTNERS
  • MN Other: 8120863 MEDICA
  • MN Other: 109465 UCARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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