Provider Demographics
NPI:1659738508
Name:S&H TRANSPORTATION LLC
Entity Type:Organization
Organization Name:S&H TRANSPORTATION LLC
Other - Org Name:NONE
Other - Org Type:Other Name
Authorized Official - Title/Position:NON MEDICAL TRANSPORTATION DRIVER
Authorized Official - Prefix:MR
Authorized Official - First Name:SALEEBAAN
Authorized Official - Middle Name:MAXAMED
Authorized Official - Last Name:ADAN
Authorized Official - Suffix:
Authorized Official - Credentials:DRIVER
Authorized Official - Phone:320-248-9980
Mailing Address - Street 1:3407 22ND ST S APT 104
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-5079
Mailing Address - Country:US
Mailing Address - Phone:320-248-9980
Mailing Address - Fax:320-240-8088
Practice Address - Street 1:3407 22ND ST S APT 104
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-5079
Practice Address - Country:US
Practice Address - Phone:320-248-9980
Practice Address - Fax:320-240-8088
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NONE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-01-23
Last Update Date:2016-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNK161149202608343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)