Provider Demographics
NPI:1144593286
Name:G & M SPECIAL TRANSPORTATION, INC.
Entity Type:Organization
Organization Name:G & M SPECIAL TRANSPORTATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GULED
Authorized Official - Middle Name:
Authorized Official - Last Name:MOHAMOUD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-367-7549
Mailing Address - Street 1:2607 BLOOMINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1137
Mailing Address - Country:US
Mailing Address - Phone:612-367-7549
Mailing Address - Fax:
Practice Address - Street 1:2607 BLOOMINGTON AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-1137
Practice Address - Country:US
Practice Address - Phone:612-367-7549
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-21
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)