Provider Demographics
NPI:1255416350
Name:ESPELAND VAN SERVICE, INC.
Entity type:Organization
Organization Name:ESPELAND VAN SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:ESPELAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-893-4458
Mailing Address - Street 1:44 6TH AVE SE
Mailing Address - Street 2:PO BOX 247
Mailing Address - City:WINNEBAGO
Mailing Address - State:MN
Mailing Address - Zip Code:56098-1074
Mailing Address - Country:US
Mailing Address - Phone:507-893-4458
Mailing Address - Fax:507-893-4447
Practice Address - Street 1:44 6TH AVE SE
Practice Address - Street 2:
Practice Address - City:WINNEBAGO
Practice Address - State:MN
Practice Address - Zip Code:56098-1074
Practice Address - Country:US
Practice Address - Phone:507-893-4458
Practice Address - Fax:507-893-4447
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)