Healthcare Provider Details

I. General information

NPI: 1316505324
Provider Name (Legal Business Name): GARDEN COUNTY TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2019
Last Update Date: 06/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 MAIN ST
OSHKOSH NE
69154-5034
US

IV. Provider business mailing address

PO BOX 350
OSHKOSH NE
69154-0350
US

V. Phone/Fax

Practice location:
  • Phone: 308-778-7057
  • Fax: 308-772-3296
Mailing address:
  • Phone: 308-778-7057
  • Fax: 308-772-3296

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: TAMMY S MCCONNELL
Title or Position: TRANSPORTATION ADMINISTRATOR
Credential:
Phone: 308-778-7057