Provider Demographics
NPI:1699226977
Name:RICHWOOD TRANSPORT LLC
Entity Type:Organization
Organization Name:RICHWOOD TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOPWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-224-9293
Mailing Address - Street 1:247 HARBOUR TOWN DR
Mailing Address - Street 2:SUITE 18
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53717-2675
Mailing Address - Country:US
Mailing Address - Phone:608-224-9293
Mailing Address - Fax:
Practice Address - Street 1:247 HARBOUR TOWN DR
Practice Address - Street 2:SUITE 18
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53717-2675
Practice Address - Country:US
Practice Address - Phone:608-224-9293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-20
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)