Provider Demographics
NPI:1871193607
Name:MASSAIE SERVICES INC
Entity Type:Organization
Organization Name:MASSAIE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMGAD
Authorized Official - Middle Name:HASSAN MOHAMED
Authorized Official - Last Name:ELNASEIH
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:507-202-2501
Mailing Address - Street 1:PO BOX 488
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55903-0488
Mailing Address - Country:US
Mailing Address - Phone:507-202-2501
Mailing Address - Fax:507-258-4476
Practice Address - Street 1:15 1ST ST SE STE 220
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-3800
Practice Address - Country:US
Practice Address - Phone:507-202-2501
Practice Address - Fax:507-258-4476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-30
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)