Individual provider · Type 1 NPI

Robert W. Mingus, DRIVER

Private Vehicle · Clearwater, ID

NPI number 1427763499 Active

Practice location

126 Shira Rd
Clearwater, ID 83552-5044

Call (208) 926-0894 Map

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000XWA122376H (ID)

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

About NPI 1427763499

Robert W. Mingus, DRIVER's National Provider Identifier is 1427763499, issued on Jan 13, 2023. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Clearwater, ID. The record was last updated on Jan 13, 2023.