Provider Demographics
NPI:1790490514
Name:BUCHUTRANSPORT LLC
Entity Type:Organization
Organization Name:BUCHUTRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANGER
Authorized Official - Prefix:
Authorized Official - First Name:NEGALIGN
Authorized Official - Middle Name:MAMO
Authorized Official - Last Name:URKATO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:608-906-1123
Mailing Address - Street 1:5636 LONGFORD TER
Mailing Address - Street 2:
Mailing Address - City:FITCHBURG
Mailing Address - State:WI
Mailing Address - Zip Code:53711-6912
Mailing Address - Country:US
Mailing Address - Phone:608-906-1123
Mailing Address - Fax:
Practice Address - Street 1:5636 LONGFORD TER
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:WI
Practice Address - Zip Code:53711-6912
Practice Address - Country:US
Practice Address - Phone:608-906-1123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)