MEDICARE: FRASER TRANSPORTATION, INC.

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
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1891120655
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FRASER TRANSPORTATION, INC.

Provider Business Mailing Address
First Line	:	PO BOX 219
Second Line	:
City	:	NORWALK
State	:	IA
Zip	:	50211-0219
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4165 NAPLES AVE SW
Second Line	:	SUITE 5
City	:	IOWA CITY
State	:	IA
Zip	:	52240-8624
Country	:	US
Telephone Number	:	319-466-0735
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOHN FRASER
Credential	:
Telephone Number	:	515-266-7766

Provider Enumeration Date	:	09/11/2013
Last Update Date	:	09/11/2013

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