Provider Demographics
NPI:1467826016
Name:NOGOB TRANSPORTION INC
Entity Type:Organization
Organization Name:NOGOB TRANSPORTION INC
Other - Org Name:NO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:ABDI
Authorized Official - Last Name:MATAN
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:320-356-8081
Mailing Address - Street 1:427 SUNDIAL DR
Mailing Address - Street 2:P.O. BOX 784
Mailing Address - City:WAITE PARK
Mailing Address - State:MN
Mailing Address - Zip Code:56387-1537
Mailing Address - Country:US
Mailing Address - Phone:320-356-8081
Mailing Address - Fax:320-227-6521
Practice Address - Street 1:427 SUNDIAL DRIVE
Practice Address - Street 2:
Practice Address - City:WAITE PARK
Practice Address - State:MN
Practice Address - Zip Code:56387
Practice Address - Country:US
Practice Address - Phone:952-994-4844
Practice Address - Fax:320-227-6521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-19
Last Update Date:2016-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
343900000X
MN142414421421343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)