Provider Demographics
NPI:1962687418
Name:AMERICARE MOBILITY VAN INC.
Entity Type:Organization
Organization Name:AMERICARE MOBILITY VAN INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PINSKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-625-6741
Mailing Address - Street 1:703 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MANKATO
Mailing Address - State:MN
Mailing Address - Zip Code:56001-3811
Mailing Address - Country:US
Mailing Address - Phone:507-625-6741
Mailing Address - Fax:507-625-1336
Practice Address - Street 1:703 S 2ND ST
Practice Address - Street 2:
Practice Address - City:MANKATO
Practice Address - State:MN
Practice Address - Zip Code:56001-3811
Practice Address - Country:US
Practice Address - Phone:507-625-6741
Practice Address - Fax:507-625-1336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-03
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNSTS153941343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)