Provider Demographics
NPI:1568851145
Name:CONTRACT TRANSPORTATION, INC
Entity Type:Organization
Organization Name:CONTRACT TRANSPORTATION, INC
Other - Org Name:YELLOW/ORANGE CAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATIVE VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUE
Authorized Official - Middle Name:A
Authorized Official - Last Name:FOSEID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-217-6703
Mailing Address - Street 1:2600 7TH ST N
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-3100
Mailing Address - Country:US
Mailing Address - Phone:320-253-7729
Mailing Address - Fax:320-251-7930
Practice Address - Street 1:2600 7TH ST N
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-3100
Practice Address - Country:US
Practice Address - Phone:320-253-7729
Practice Address - Fax:320-251-7930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-20
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNA367477000Medicaid