Provider Demographics
NPI:1790220473
Name:VAN GO NON EMERGENCY MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:VAN GO NON EMERGENCY MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RIEMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-513-5531
Mailing Address - Street 1:105 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:WAUNAKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53597-1441
Mailing Address - Country:US
Mailing Address - Phone:608-849-7070
Mailing Address - Fax:608-849-7079
Practice Address - Street 1:105 E 2ND ST
Practice Address - Street 2:
Practice Address - City:WAUNAKEE
Practice Address - State:WI
Practice Address - Zip Code:53597-1441
Practice Address - Country:US
Practice Address - Phone:608-849-7070
Practice Address - Fax:608-849-7079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-04
Last Update Date:2017-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)