Provider Demographics
NPI:1093170722
Name:CROWN TRANSPORTATION INC
Entity Type:Organization
Organization Name:CROWN TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESEDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDULLAHI
Authorized Official - Middle Name:Y
Authorized Official - Last Name:MOHAMOUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-986-0263
Mailing Address - Street 1:13770 FRONTIER CT
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337
Mailing Address - Country:US
Mailing Address - Phone:612-986-0263
Mailing Address - Fax:952-314-9988
Practice Address - Street 1:13770 FRONTIER CT
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337-4810
Practice Address - Country:US
Practice Address - Phone:612-986-0263
Practice Address - Fax:952-777-2278
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-23
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)