Provider Demographics
NPI:1528398112
Name:HORIZON TRANSPORTATION INC ,
Entity Type:Organization
Organization Name:HORIZON TRANSPORTATION INC ,
Other - Org Name:HORIZON TRANSPORTATION INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MUSTAFA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-998-6994
Mailing Address - Street 1:PO BOX 8324
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-0324
Mailing Address - Country:US
Mailing Address - Phone:612-998-6994
Mailing Address - Fax:612-721-4726
Practice Address - Street 1:2700 E LAKE ST STE 2100
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55406-3252
Practice Address - Country:US
Practice Address - Phone:612-998-6994
Practice Address - Fax:612-721-4726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-05
Last Update Date:2010-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2393570-2343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN=========OtherIRS