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Lakes Medi-Van Inc.

Non-emergency Medical Transport (VAN) in Detroit Lakes, MN · enumerated 2007 · authorized official Jeffrey Nustad, Owner, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1467593251

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Registry record

Entity type Organization (Type 2)
Legal business name Lakes Medi-Van Inc.
Practice address 16777 Longview Drive, Detroit Lakes, MN, 56501
Fax (877) 417-4380
Enumeration date Feb 12, 2007
Last updated in NPPES Aug 28, 2007

Taxonomy & classification

343900000X Non-emergency Medical Transport (VAN) Transportation Services · License 153579 (MN) Primary
343900000X Non-emergency Medical Transport (VAN) Transportation Services · License 153619 (MN) Secondary
343900000X Non-emergency Medical Transport (VAN) Transportation Services · License 153636 (MN) Secondary
343900000X Non-emergency Medical Transport (VAN) Transportation Services · License 153581 (MN) Secondary
343900000X Non-emergency Medical Transport (VAN) Transportation Services · License 153577 (MN) Secondary

Authorized official

Name Jeffrey Nustad
Title Owner, President

Other identifiers

Identifier Type State Issuer
11033LA Other MN BLUE PLUS
8120863 Other MN MEDICA
16726 Other MN HEALTH PARTNERS
56330 Medicaid ND -
109465 Other MN UCARE
9030210 Medicaid SD -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2007-08-28. Verify at npiregistry.cms.hhs.gov.
Where is Lakes Medi-Van Inc. located?
The practice location on file with NPPES is in Detroit Lakes, MN.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-08-28.