Healthcare Provider Details

I. General information

NPI: 1629645726
Provider Name (Legal Business Name): BELLMED TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2021
Last Update Date: 06/07/2021
Certification Date: 06/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

618 CANDLEWICK RD
WATERLOO IA
50703-1312
US

IV. Provider business mailing address

PO BOX 1062
WATERLOO IA
50704-1062
US

V. Phone/Fax

Practice location:
  • Phone: 319-504-4001
  • Fax:
Mailing address:
  • Phone: 319-504-4001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: LEE MARVIN BELL
Title or Position: OWNER
Credential:
Phone: 319-504-4001