Healthcare Provider Details

I. General information

NPI: 1013061753
Provider Name (Legal Business Name): BOONE COUNTY TRANSPORTATION SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

328 SNEDDEN DRIVE
BOONE IA
50036-0032
US

IV. Provider business mailing address

PO BOX 32
BOONE IA
50036-0032
US

V. Phone/Fax

Practice location:
  • Phone: 515-432-5038
  • Fax: 515-432-6142
Mailing address:
  • Phone: 515-432-5038
  • Fax: 515-432-6142

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State

VIII. Authorized Official

Name: MS. CAROL LUNDBERG
Title or Position: DIRECTOR
Credential:
Phone: 515-432-5038