Provider Demographics
NPI:1326368903
Name:CEDAR TRANSPORTATION LLC
Entity Type:Organization
Organization Name:CEDAR TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MAFTUHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BERENTO
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:612-377-5803
Mailing Address - Street 1:3550 LEXINGTON AVE N STE 101A
Mailing Address - Street 2:
Mailing Address - City:SHOREVIEW
Mailing Address - State:MN
Mailing Address - Zip Code:55126-8048
Mailing Address - Country:US
Mailing Address - Phone:612-377-5803
Mailing Address - Fax:
Practice Address - Street 1:3550 LEXINGTON AVE N STE 101A
Practice Address - Street 2:
Practice Address - City:SHOREVIEW
Practice Address - State:MN
Practice Address - Zip Code:55126-8048
Practice Address - Country:US
Practice Address - Phone:612-377-5803
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-07
Last Update Date:2015-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)