Provider Demographics
NPI:1295290088
Name:RICHWOOD TRANSPORT OF IOWA LLC
Entity type:Organization
Organization Name:RICHWOOD TRANSPORT OF IOWA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
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 1:2564 BRANCH ST STE B12
Mailing Address - Street 2:
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-2861
Mailing Address - Country:US
Mailing Address - Phone:608-224-9293
Mailing Address - Fax:
Practice Address - Street 1:2564 BRANCH ST STE B12
Practice Address - Street 2:
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-2861
Practice Address - Country:US
Practice Address - Phone:608-224-9293
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RICHWOOD ENTERPRISE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-02-05
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)