Provider Demographics
NPI:1275249443
Name:PRECISION TRANSPORTATION INC
Entity Type:Organization
Organization Name:PRECISION TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:DELRAE
Authorized Official - Middle Name:M
Authorized Official - Last Name:AMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-371-6166
Mailing Address - Street 1:2108 UNIVERSITY DR S STE 108
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-5348
Mailing Address - Country:US
Mailing Address - Phone:701-936-0577
Mailing Address - Fax:
Practice Address - Street 1:1621 UNIVERSITY DR S STE 227
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-4164
Practice Address - Country:US
Practice Address - Phone:701-371-6166
Practice Address - Fax:866-666-5079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN382056OtherDOT