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Ricky Brockberg
Secured Medical Transport (VAN) in Mankato, Minnesota
NPI 1235631052

Ricky Brockberg is a Secured Medical Transport (VAN) based in Mankato, MN. Ricky Brockberg practices in Mankato, MN. The NPI Number for Ricky Brockberg is 1235631052 and holds a License No. 382785 (Minnesota).

The current practice location address for Ricky Brockberg is 931 Madison Ave Ste 203, Mankato, MN and can be reached out via phone at 507-344-8900 and via fax at 866-920-6333.

Location: 931 Madison Ave Ste 203, Mankato, MN, 56001-6995
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235631052
Provider Name
Ricky Brockberg
Credential
Provider Entity Type
Individual
Gender
Male
Address
931 Madison Ave Ste 203, Mankato, MN, 56001-6995
Phone Number
507-344-8900
Fax Number
866-920-6333
Provider Enumeration Date
03/07/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
931 Madison Ave Ste 203
City
Mankato
State
Minnesota
Zip
56001-6995
Phone Number
507-344-8900
Fax Number
866-920-6333
person
Provider Business Mailing Address Details
Address
931 Madison Ave Ste 203
City
Mankato
State
Minnesota
Zip
56001-6995
Phone Number
507-344-8900
Fax Number
866-920-6333
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Secured Medical Transport (VAN)
Speciality
-
Taxonomy
343800000X
License No.
382785 (Minnesota)
Definition
A public or privately owned transportation service with vehicles, specially equipped to provide enhanced safety, security and passenger restraint, and staffed by one or more individuals trained to work with patients in crisis situations resulting from mental or emotional illness and/or substance abuse.
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