Green River Trans LLC
Non-emergency Medical Transport (VAN) in Green Bay, WI. Organization (NPI-2).
NPI number1699503144
StatusActive
Last updated in NPPESJul 25, 2024
Details
- NPI
- 1699503144
- Entity type
- Organization (NPI-2)
- Legal business name
- Green River Trans LLC
- Organization subpart
- No
- Enumeration date
- Jul 25, 2024
- Certification date
- Jul 25, 2024
- Last updated
- Jul 25, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | Yes |
Practice location
1057 Roland Ln Apt 7Green Bay, WI 54303-6041
Phone 920-713-1723
Mailing address
1057 Roland Ln Apt 7Green Bay, WI 54303-6041
Phone 920-713-1723
Authorized official
Mokhtar Yosef
Member/Manager
9207131723
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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