Provider Demographics
NPI:1285022418
Name:OWATONNA FAMILY TRANSPORTATION
Entity Type:Organization
Organization Name:OWATONNA FAMILY TRANSPORTATION
Other - Org Name:OWATONNA FAMILY TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZAHRO
Authorized Official - Middle Name:ALIN
Authorized Official - Last Name:DAHIR
Authorized Official - Suffix:
Authorized Official - Credentials:B/S
Authorized Official - Phone:507-213-1526
Mailing Address - Street 1:474 SAINT PAUL PL
Mailing Address - Street 2:
Mailing Address - City:OWATONNA
Mailing Address - State:MN
Mailing Address - Zip Code:55060-1492
Mailing Address - Country:US
Mailing Address - Phone:507-213-1526
Mailing Address - Fax:
Practice Address - Street 1:474 SAINT PAUL PL
Practice Address - Street 2:
Practice Address - City:OWATONNA
Practice Address - State:MN
Practice Address - Zip Code:55060-1492
Practice Address - Country:US
Practice Address - Phone:507-213-1526
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-22
Last Update Date:2014-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN773705600022343900000X
MN343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)