MEDICARE: B&D MOBILITY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)	EWH602	MN

General Provider Information

NPI Number	:	1609918531
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	B&D MOBILITY, INC.

Provider Business Mailing Address
First Line	:	223 HWY 92 SW
Second Line	:
City	:	CLEARBROOK
State	:	MN
Zip	:	56634-0090
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	223 HWY 92 SW
Second Line	:
City	:	CLEARBROOK
State	:	MN
Zip	:	56634-0090
Country	:	US
Telephone Number	:	218-776-2323
Fax Number	:	218-776-2320

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DAN LINDOM
Credential	:
Telephone Number	:	218-776-2323

Provider Enumeration Date	:	02/14/2007
Last Update Date	:	08/22/2020

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