MEDICARE: DANIEL WAYNE OSBORNE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	343900000X	Non-emergency Medical Transport (VAN)
2	344600000X	Taxi
3	172A00000X	Driver

General Provider Information

NPI Number	:	1790627925
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL WAYNE OSBORNE

Provider Business Mailing Address
First Line	:	215 1ST AVE N
Second Line	:	GENERAL DELIVERY
City	:	GREAT FALLS
State	:	MT
Zip	:	59401-2553
Country	:	US
Telephone Number	:	406-607-0479
Fax Number	:

Provider Business Practice Location Address
First Line	:	1413 13TH ST S APT 16
Second Line	:
City	:	GREAT FALLS
State	:	MT
Zip	:	59405-4543
Country	:	US
Telephone Number	:	406-607-0479
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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