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NPI Code Detail

MEDICARE: TRANSTAR MEDICAL LTD.

MEDICARE: TRANSTAR MEDICAL LTD.
Medicare Provider Information

Scope of Practice

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

# Taxonomy Code Taxonomy License Number License Number State
1343900000XNon-emergency Medical Transport (VAN)WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689876831
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRANSTAR MEDICAL LTD.
Provider Business Mailing Address
First Line : 120 W MAIN ST
Second Line : P.O. BOX 509
City : CAMPBELLSPORT
State : WI
Zip : 53010-2704
Country : US
Telephone Number : 920-533-3800
Fax Number : 920-533-3404
Provider Business Practice Location Address
First Line : 120 W MAIN ST
Second Line :
City : CAMPBELLSPORT
State : WI
Zip : 53010-2704
Country : US
Telephone Number : 920-533-3800
Fax Number : 920-533-3404
Authorized Official
Title or Position : OWNER
Name : MR. BOYD STOFFEL
Credential :
Telephone Number : 920-533-3800
Provider Enumeration Date : 06/01/2007
Last Update Date : 08/22/2020

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Directions to “TRANSTAR MEDICAL LTD. ” Practice Location

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