Healthcare Provider Details

I. General information

NPI: 1255416350
Provider Name (Legal Business Name): ESPELAND VAN SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 6TH AVE SE
WINNEBAGO MN
56098-1074
US

IV. Provider business mailing address

44 6TH AVE SE PO BOX 247
WINNEBAGO MN
56098-1074
US

V. Phone/Fax

Practice location:
  • Phone: 507-893-4458
  • Fax: 507-893-4447
Mailing address:
  • Phone: 507-893-4458
  • Fax: 507-893-4447

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: MR. DANIEL JAY ESPELAND
Title or Position: GENERAL MANAGER
Credential:
Phone: 507-893-4458