Road Runner Shuttle, LLC
Non-emergency Medical Transport (VAN) in Idaho Falls, ID. Organization (NPI-2).
NPI number1750827770
StatusActive
Last updated in NPPESJan 14, 2017
Details
- NPI
- 1750827770
- Entity type
- Organization (NPI-2)
- Legal business name
- Road Runner Shuttle, LLC
- Organization subpart
- No
- Enumeration date
- Jan 14, 2017
- Last updated
- Jan 14, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | Yes |
Practice location
310 Moonlite DrApt 25
Idaho Falls, ID 83402-2359
Phone 208-359-1100
Mailing address
310 Moonlite DrApt 25
Idaho Falls, ID 83402-2359
Authorized official
Jessica Stephens
Owner
2083591100
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