Provider Demographics
NPI:1558707372
Name:TWIN CITY HEALTH CARE INC
Entity Type:Organization
Organization Name:TWIN CITY HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:KABAYNESH
Authorized Official - Middle Name:GIRMAY
Authorized Official - Last Name:GEBREMICHAEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-938-9595
Mailing Address - Street 1:8411 W 100TH ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55438-1973
Mailing Address - Country:US
Mailing Address - Phone:952-393-3275
Mailing Address - Fax:952-253-0579
Practice Address - Street 1:610 E. ANNAPOLIS STREET
Practice Address - Street 2:
Practice Address - City:SOUTH ST. PAUL
Practice Address - State:MN
Practice Address - Zip Code:55075
Practice Address - Country:US
Practice Address - Phone:952-938-9595
Practice Address - Fax:952-253-0579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-20
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN377162343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)