Provider Demographics
NPI:1568686467
Name:GRANT COUNTY TRANSPORTATION
Entity Type:Organization
Organization Name:GRANT COUNTY TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:A
Authorized Official - Last Name:CARLSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-685-8216
Mailing Address - Street 1:PO BOX 1006
Mailing Address - Street 2:
Mailing Address - City:ELBOW LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:56531-1006
Mailing Address - Country:US
Mailing Address - Phone:218-685-8200
Mailing Address - Fax:218-685-4978
Practice Address - Street 1:28 CENTRAL SOUTH
Practice Address - Street 2:
Practice Address - City:ELBOW LAKE
Practice Address - State:MN
Practice Address - Zip Code:56531-1006
Practice Address - Country:US
Practice Address - Phone:218-685-8200
Practice Address - Fax:218-685-4978
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GRANT COUNTY SOCIAL SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-12
Last Update Date:2010-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN347B00000X
347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No347B00000XTransportation ServicesBus