MEDICARE: BELLS HAVEN TRANSPORTATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	343800000X	Secured Medical Transport (VAN)
2	347C00000X	Private Vehicle
3	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1083501019
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELLS HAVEN TRANSPORTATION

Provider Business Mailing Address
First Line	:	3960 W GRAND AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60651-2014
Country	:	US
Telephone Number	:	872-803-2130
Fax Number	:

Provider Business Practice Location Address
First Line	:	3960 W GRAND AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60651-2014
Country	:	US
Telephone Number	:	872-803-2130
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KELSEE MCGOWAN
Credential	:
Telephone Number	:	872-803-2130

Provider Enumeration Date	:	06/23/2025
Last Update Date	:	06/23/2025

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