Provider Demographics
NPI:1285037127
Name:UNIVERSITY OF MINNESOTA
Entity Type:Organization
Organization Name:UNIVERSITY OF MINNESOTA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:UMEMS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:GRECO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-626-1312
Mailing Address - Street 1:2221 UNIVERSITY AVE SE
Mailing Address - Street 2:SUITE 140
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55414-3063
Mailing Address - Country:US
Mailing Address - Phone:612-626-1312
Mailing Address - Fax:612-625-6660
Practice Address - Street 1:2221 UNIVERSITY AVE SE
Practice Address - Street 2:SUITE 140
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55414-3063
Practice Address - Country:US
Practice Address - Phone:612-626-1312
Practice Address - Fax:612-625-6660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-07
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN01613416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport