Provider Demographics
NPI:1497823777
Name:MN PARA TRANSIT SERVICE INC
Entity Type:Organization
Organization Name:MN PARA TRANSIT SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:JAY
Authorized Official - Last Name:ESPELAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-776-2451
Mailing Address - Street 1:210 WEST CIRO STREET
Mailing Address - Street 2:PO BOX 274
Mailing Address - City:TRUMAN
Mailing Address - State:MN
Mailing Address - Zip Code:56088
Mailing Address - Country:US
Mailing Address - Phone:507-776-2451
Mailing Address - Fax:507-776-2591
Practice Address - Street 1:210 WEST CIRO STREET
Practice Address - Street 2:
Practice Address - City:TRUMAN
Practice Address - State:MN
Practice Address - Zip Code:56088
Practice Address - Country:US
Practice Address - Phone:507-776-2451
Practice Address - Fax:507-776-2591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-02
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN719193000Medicaid