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Southport Transportation Inc
Non-emergency Medical Transport (VAN) in Kenosha, Wisconsin
NPI 1275883787

Southport Transportation Inc is a Non-emergency Medical Transport (VAN) based in Kenosha, WI. Southport Transportation Inc practices in Kenosha, WI. The NPI Number for Southport Transportation Inc is 1275883787 and holds a License No. (Wisconsin).

The current practice location address for Southport Transportation Inc is 5911 57Th Ave, Kenosha, WI and can be reached out via phone at 262-658-3674 and via fax at 262-658-4779.

Location: 5911 57Th Ave, Kenosha, WI, 53144-2240
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275883787
Provider Name
Southport Transportation Inc
Credential
Provider Entity Type
Organization
Address
5911 57Th Ave, Kenosha, WI, 53144-2240
Phone Number
262-658-3674
Fax Number
262-658-4779
Provider Enumeration Date
09/12/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100022665 05 WI
institution
Provider Business Practice Location Address Details
Address
5911 57Th Ave
City
Kenosha
State
Wisconsin
Zip
53144-2240
Phone Number
262-658-3674
Fax Number
262-658-4779
person
Provider Business Mailing Address Details
Address
5911 57Th Ave
City
Kenosha
State
Wisconsin
Zip
53144-2240
Phone Number
262-658-3674
Fax Number
262-658-4779
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Non-emergency Medical Transport (VAN)
Speciality
-
Taxonomy
343900000X
License No.
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Definition
A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.
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