Provider Demographics
NPI:1093261224
Name:ROUND-UP TRANSPORTATION II LLC
Entity Type:Organization
Organization Name:ROUND-UP TRANSPORTATION II LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-683-7404
Mailing Address - Street 1:PO BOX 381
Mailing Address - Street 2:
Mailing Address - City:CAREYWOOD
Mailing Address - State:ID
Mailing Address - Zip Code:83809-0381
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:34289 N. BARDILL
Practice Address - Street 2:
Practice Address - City:BAYVIEW
Practice Address - State:ID
Practice Address - Zip Code:83803
Practice Address - Country:US
Practice Address - Phone:208-683-7404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-28
Last Update Date:2016-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)