Provider Demographics
NPI:1609566892
Name:MARSHALL TRANSPORTATION LLC
Entity Type:Organization
Organization Name:MARSHALL TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LIIBAAN
Authorized Official - Middle Name:HASSAN
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-337-4018
Mailing Address - Street 1:PO BOX 403
Mailing Address - Street 2:
Mailing Address - City:MARSHALL
Mailing Address - State:MN
Mailing Address - Zip Code:56258-0403
Mailing Address - Country:US
Mailing Address - Phone:507-337-4018
Mailing Address - Fax:
Practice Address - Street 1:700 N 7TH ST
Practice Address - Street 2:
Practice Address - City:MARSHALL
Practice Address - State:MN
Practice Address - Zip Code:56258-1120
Practice Address - Country:US
Practice Address - Phone:507-337-4018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-10
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)