Individual provider · Type 1 NPI
Ricky Brockberg
Secured Medical Transport (VAN) · Mankato, MN
NPI number
1235631052
Active
Practice location
931 Madison Ave Ste 203
Mankato, MN 56001-6995
Fax (866) 920-6333
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Secured Medical Transport (VAN) Primary | 343800000X | 382785 (MN) |
Secured Medical Transport (VAN): 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.
Another provider at this address
About NPI 1235631052
Ricky Brockberg's National Provider Identifier is 1235631052, issued on Mar 7, 2018. The primary taxonomy on file is Secured Medical Transport (VAN) (343800000X), and the practice location is in Mankato, MN. The record was last updated on Sep 17, 2021.