Provider Demographics
NPI:1225401631
Name:UNIVERSAL MEDICAL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:UNIVERSAL MEDICAL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-222-2922
Mailing Address - Street 1:1413 HIGHWAY 33 S
Mailing Address - Street 2:UNIT 22
Mailing Address - City:CLOQUET
Mailing Address - State:MN
Mailing Address - Zip Code:55720-2626
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1413 HIGHWAY 33 S
Practice Address - Street 2:UNIT 22
Practice Address - City:CLOQUET
Practice Address - State:MN
Practice Address - Zip Code:55720-2626
Practice Address - Country:US
Practice Address - Phone:612-222-2922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-06
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)