Provider Demographics
NPI:1598732729
Name:RANGE REGIONAL HEALTH SERVICES
Entity Type:Organization
Organization Name:RANGE REGIONAL HEALTH SERVICES
Other - Org Name:HEALTHLINE TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:J
Authorized Official - Last Name:HOHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-362-6680
Mailing Address - Street 1:1101 E 37TH ST
Mailing Address - Street 2:SUITE 18
Mailing Address - City:HIBBING
Mailing Address - State:MN
Mailing Address - Zip Code:55746-2971
Mailing Address - Country:US
Mailing Address - Phone:218-262-1170
Mailing Address - Fax:218-262-5756
Practice Address - Street 1:1101 E 37TH ST
Practice Address - Street 2:SUITE 18
Practice Address - City:HIBBING
Practice Address - State:MN
Practice Address - Zip Code:55746-2971
Practice Address - Country:US
Practice Address - Phone:218-262-1170
Practice Address - Fax:218-262-5756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-07
Last Update Date:2007-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN309291343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN123220OtherUCARE
MN81-20895OtherMEDICA