Provider Demographics
NPI:1003229527
Name:MYOB INC.
Entity Type:Organization
Organization Name:MYOB INC.
Other - Org Name:MNTRAN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WARD
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-723-7284
Mailing Address - Street 1:1500 29TH STREET SE
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:MN
Mailing Address - Zip Code:55313
Mailing Address - Country:US
Mailing Address - Phone:612-723-7284
Mailing Address - Fax:
Practice Address - Street 1:30106 CIRCLE DRIVE
Practice Address - Street 2:
Practice Address - City:BREEZY POINT
Practice Address - State:MN
Practice Address - Zip Code:55472
Practice Address - Country:US
Practice Address - Phone:612-723-7284
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-03
Last Update Date:2014-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)