Individual provider · Type 1 NPI

Thimotee Ilboudo

Non-emergency Medical Transport (VAN) · Colcord, OK

NPI number 1093163024 Active

Practice location

3198 Highway 412 Ste B
Colcord, OK 74338-1356

Mailing address

3198 Highway 412 Ste B206
Colcord, OK 74338-1356

Specialties and licenses

TaxonomyCodeLicense
Non-emergency Medical Transport (VAN) 343900000XNone listed
Non-emergency Medical Transport (VAN) Primary 343900000XNone listed

Non-emergency Medical Transport (VAN): 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.

About NPI 1093163024

Thimotee Ilboudo's National Provider Identifier is 1093163024, issued on May 31, 2016. The primary taxonomy on file is Non-emergency Medical Transport (VAN) (343900000X), and the practice location is in Colcord, OK. The record was last updated on Jul 4, 2022.