Provider Demographics
NPI:1760206700
Name:4 POINT O NON-EMERGENCY MEDICAL TRANSPORTATION, INC.
Entity type:Organization
Organization Name:4 POINT O NON-EMERGENCY MEDICAL TRANSPORTATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEMT OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:WILHELMI
Authorized Official - Suffix:
Authorized Official - Credentials:ADMIN
Authorized Official - Phone:952-412-9899
Mailing Address - Street 1:13050 STEWART AVE
Mailing Address - Street 2:
Mailing Address - City:NORWOOD YOUNG AMERICA
Mailing Address - State:MN
Mailing Address - Zip Code:55368-9769
Mailing Address - Country:US
Mailing Address - Phone:952-246-1779
Mailing Address - Fax:
Practice Address - Street 1:13050 STEWART AVE
Practice Address - Street 2:
Practice Address - City:NORWOOD YOUNG AMERICA
Practice Address - State:MN
Practice Address - Zip Code:55368-9769
Practice Address - Country:US
Practice Address - Phone:952-246-1779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-14
Last Update Date:2024-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)