Provider Demographics
NPI:1174813604
Name:HANDI VAN INC.
Entity Type:Organization
Organization Name:HANDI VAN INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CORP PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LEE
Authorized Official - Middle Name:A
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:JD
Authorized Official - Phone:801-281-8416
Mailing Address - Street 1:111 E BROADWAY STE 250
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84111-5241
Mailing Address - Country:US
Mailing Address - Phone:801-281-8416
Mailing Address - Fax:801-942-6815
Practice Address - Street 1:111 E BROADWAY STE 250
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84111-5241
Practice Address - Country:US
Practice Address - Phone:801-281-8416
Practice Address - Fax:801-942-6815
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-18
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)