Healthcare Provider Details

I. General information

NPI: 1396654919
Provider Name (Legal Business Name): GEMINI TRAVEL & SHUTTLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

629 BLONDEAU ST SUITE 101
KEOKUK IA
52632
US

IV. Provider business mailing address

629 BLONDEAU ST SUITE 101
KEOKUK IA
52632
US

V. Phone/Fax

Practice location:
  • Phone: 319-524-1461
  • Fax: 319-524-7198
Mailing address:
  • Phone: 319-524-1461
  • Fax: 319-524-7198

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MRS. PATRICIA MAYFIELD
Title or Position: PRESIDENT
Credential:
Phone: 319-524-1461