MIDSTATE MEDICAL EXPRESS (NPI# 1669611083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669611083 |
| Entity Type | Organization |
| Organization Name | MIDSTATE MEDICAL EXPRESS |
| Practice Address |
512 W Pleasant St Portage WI 53901-2012 |
| Mailing Address |
Po Box 303 512 W Pleasant St Portage WI 53901-0303 |
| Practice Telephone | 6087428603 |
| Practice Fax Number | 6087450640 |
| Mailing Telephone | 6087428603 |
| Mailing Fax Number | 6087450640 |
| Enumeration Date | 2009-02-09 |
| Last Update Date | 2009-02-09 |
| Authorized Official Name | MRS. SANDRA L WATSON (PARTNER/OFFICE MANAGER) |
| Authorized Official Telephone | 6087428603 |
| 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 |
|---|---|---|---|
| WI | 41453400 | 05 |
| Street Address |
512 W PLEASANT ST |
| City | PORTAGE |
| State | WI |
| Zip Code | 53901-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740710748 | Robert James Corliss | Internal Medicine | St. Vincent Fmc, 140east Cook St., Portage, WI 53901 | 2017-06-13 |
| 1639328867 | Casey Jo Ambort | Speech-Language Pathologist | 626 East Slifer St, Portage, WI 53901 | 2008-09-11 |
| 1871767400 | Planned Parenthood of Wi, Inc | Non-Pharmacy Dispensing Site | 132 W. Cook St., Portage, WI 53901 | 2008-04-15 |
| 1881872158 | Marta Jean Jindra | Physical Therapist | 626 E Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1699953976 | Lana Marie Edwards | Speech-Language Pathologist | 626 East Slifer Street, Portage, WI 53901 | 2008-02-08 |
| 1134314552 | Kristina Hellenbrand | Physical Therapist | 2639 New Pinery Road, Suite 2, Portage, WI 53901 | 2007-09-10 |
| 1689727810 | Gregory Allan Bindl | Chiropractor | 2121new Pinery Rd, Portage, WI 53901 | 2007-01-19 |
| 1720149156 | Timothy J Rosin Dds Sc | Dentist | 2570 New Pinery Rd, Portage, WI 53901 | 2006-12-12 |
| 1710083779 | Currani Seubert Dental Office LLC | Dentist | 260 W Cook St, Portage, WI 53901 | 2006-09-16 |
| 1225090525 | University of Wisconsin Medical Foundation Inc | Durable Medical Equipment & Medical Supplies | 2977 Cty Hwy Cx, Portage, WI 53901 | 2006-04-04 |
| Find all providers in zip 53901 | ||||
| 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 |
|---|---|---|---|---|
| 1871191965 | Jaouad Aziam | Non-emergency Medical Transport (VAN) | 1729 Vickery Rd, Portage, MI 49002-7605 | 2020-10-12 |
| 1518581503 | Guardian Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 5950 Old Porter Rd Apt 302, Portage, IN 46368-1555 | 2020-06-04 |
| 1184196818 | Southwest Transportation Group | Non-emergency Medical Transport (VAN) | 4231 Frederick Ln, Portage, MI 49002-2021 | 2018-12-19 |
| 1487157863 | C.a.r.e.s Enterprises LLC | Non-emergency Medical Transport (VAN) | 1967 Tonia St, Portage, IN 46368-1733 | 2018-03-13 |
| 1053845024 | Eas-z Medical Transport LLC | Non-emergency Medical Transport (VAN) | 120 E Albert St, Portage, WI 53901-1360 | 2017-04-17 |
| 1518310176 | Hughes Community Rehabilitation Incorporation | Non-emergency Medical Transport (VAN) | 6648 Wind Jammer Way Apt 103, Portage, IN 46368-6960 | 2016-07-19 |
| 1710319827 | Comfortcare Transportation LLC | Non-emergency Medical Transport (VAN) | 311 E Wisconsin St, Suite# 207f, Portage, WI 53901-2455 | 2013-07-31 |
| 1750989851 | Aziam Transport LLC | Non-emergency Medical Transport (VAN) | 1729 Vickery Rd, Portage, MI 49002-7605 | 2020-10-12 |
| 1578953543 | Acl Reliable Transportation | Non-emergency Medical Transport (VAN) | 5835 Jessica Ave, Portage, IN 46368-1662 | 2015-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454325 | Richwood Enterprises LLC Dba Richwood Transport | Non-emergency Medical Transport (VAN) | 2564 Branch St Ste B10, Middleton, WI 53562-2850 | 2020-10-13 |
| 1861099897 | Seng Lor | Non-emergency Medical Transport (VAN) | 2303 Moholt Dr, Eau Claire, WI 54703-2460 | 2020-10-02 |
| 1568077022 | Shatona Moore | Non-emergency Medical Transport (VAN) | 5220 N 107th St, Milwaukee, WI 53225-3124 | 2020-09-11 |
| 1700499514 | Mckenzie Lisa Lambeck | Non-emergency Medical Transport (VAN) | 3016a N 36th St, Milwaukee, WI 53210 | 2020-08-31 |
| 1629681663 | Taylor Transport Care LLC | Non-emergency Medical Transport (VAN) | 4433 N 50th St, Milwaukee, WI 53218-5704 | 2020-08-28 |
| 1548878382 | American Phoenix Transportation LLC | Non-emergency Medical Transport (VAN) | 8544 9 Mile Creek Rd, Fall Creek, WI 54742-5306 | 2020-07-17 |
| 1497371041 | Mobility Transport LLC | Non-emergency Medical Transport (VAN) | 7114 W Mill Rd, Milwaukee, WI 53218-1229 | 2020-06-19 |
| 1144856964 | Donnell Marcellus Rushing | Non-emergency Medical Transport (VAN) | 4208 N 52nd St, Milwaukee, WI 53216-1338 | 2020-03-13 |
| 1184259996 | M&l Transportation, LLC | Non-emergency Medical Transport (VAN) | 8700 W Beloit Rd, Milwaukee, WI 53227-3714 | 2020-03-12 |
| 1962037424 | Glory Transportation Services LLC | Non-emergency Medical Transport (VAN) | 8701 W Greenwood Ter, Milwaukee, WI 53224-4019 | 2020-03-05 |
| 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.