MR. JAKE JAMES WOLTER (NPI# 1881248607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881248607 |
| Entity Type | Individual |
| Full Name | MR. JAKE JAMES WOLTER |
| Credential | N/A |
| Practice Address |
217 Mendenhall Ave Breckenridge MN 56520-1431 |
| Practice Telephone | 7016422577 |
| Practice Fax Number | 7016721285 |
| Mailing Telephone | 7016422577 |
| Mailing Fax Number | 7016721285 |
| Enumeration Date | 2019-07-30 |
| Last Update Date | 2019-07-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Street Address |
217 MENDENHALL AVE |
| City | BRECKENRIDGE |
| State | MN |
| Zip Code | 56520-1431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831311349 | Carrie Marie Voightman | Occupational Therapist | 1110 Hwy 75, Suite A, Breckenridge, MN 56520 | 2007-05-03 |
| 1063542371 | Jan E Ketterling | Psychologist | 2400 St Francis Drive, Hope Unit St Francis Medical Center, Breckenridge, MN 56520 | 2007-03-06 |
| 1174668081 | Timoth Y John Peterson | General Acute Care Hospital | St. Francis Healthcare Campus, 2400 St. Francis Drive, Breckenridge, MN 56520 | 2007-02-20 |
| 1699859942 | Gerald Dale Brudvik | Dentist | 430 Oak St., Breckenridge, MN 56520 | 2006-10-24 |
| 1881794642 | Pamela Jean Thompson | Social Worker | 415 1/2 Nebraska Ave., Breckenridge, MN 56520 | 2006-09-22 |
| 1588600928 | Robert C Eelkema | Emergency Medicine | 2400 St Francis Dr, Breckenridge, MN 56520 | 2006-06-22 |
| 1639162381 | St. Francis Medical Center | General Acute Care Hospital | 2400 St. Francis Drive, Breckenridge, MN 56520 | 2005-08-29 |
| 1194158899 | Randi Jo Resler | Counselor | 2400 St. Francis Drive, Breckenridge, MN 56520 | 2013-08-16 |
| 1194158006 | Jennifer L Schalekamp | Physical Therapist | 430 5th St N, Breckenridge, MN 56520 | 2013-08-14 |
| 1912220229 | Community Addiction Recovery Enterprises | Clinic/Center | 3850 200th Ave, Breckenridge, MN 56520 | 2010-03-02 |
| Find all providers in zip 56520 | ||||
| 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 |
|---|---|---|---|---|
| 1871193607 | Massaie Services Inc | Non-emergency Medical Transport (VAN) | 15 1st St Se Ste 220, Rochester, MN 55904-3800 | 2020-10-30 |
| 1487252383 | Amy Larayne Oothoudt | Non-emergency Medical Transport (VAN) | 13392 Thomas Dr, Little Falls, MN 56345-6110 | 2020-10-13 |
| 1548868680 | Mohamed A Mohamed | Non-emergency Medical Transport (VAN) | 2910 E Franklin Ave Apt 1011, Minneapolis, MN 55406-1140 | 2020-10-12 |
| 1710598487 | Advance Mobility | Non-emergency Medical Transport (VAN) | 7600 W 27th St Ste 213, St Louis Park, MN 55426-3163 | 2020-08-14 |
| 1154932507 | Mohamud B Habib | Non-emergency Medical Transport (VAN) | 9400 Earl St, Golden Valley, MN 55427-3741 | 2020-08-10 |
| 1073121315 | Twin Cities Pain Clinic Transportation, Inc. | Non-emergency Medical Transport (VAN) | 7225 Ohms Ln Ste 150, Edina, MN 55439-2172 | 2020-07-22 |
| 1922625490 | Ahmed B Jama | Non-emergency Medical Transport (VAN) | 1883 Deer Hills Trl, Eagan, MN 55122-2284 | 2020-07-01 |
| 1700403748 | Apple Express, LLC | Non-emergency Medical Transport (VAN) | 825 N Minnesota Ave, Saint Peter, MN 56082-2424 | 2020-06-25 |
| 1760002018 | Grace Home Healthcare Inc. | Non-emergency Medical Transport (VAN) | 216 E Main St Ste 5, Albert Lea, MN 56007-2982 | 2020-04-16 |
| 1992324230 | D Light Transportation LLC | Non-emergency Medical Transport (VAN) | 8001 61st Ave N, New Hope, MN 55428-2717 | 2020-04-15 |
| Find all providers with the same taxonomy | ||||
| City | BRECKENRIDGE |
| Zip Code | 56520 |
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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.