Provider Demographics
NPI:1942836259
Name:MINNESOTA OFFICE TRANSIT
Entity Type:Organization
Organization Name:MINNESOTA OFFICE TRANSIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HUSSEN
Authorized Official - Middle Name:NEBI
Authorized Official - Last Name:GEMADA
Authorized Official - Suffix:
Authorized Official - Credentials:PROVIDER
Authorized Official - Phone:612-382-0770
Mailing Address - Street 1:4131 GENEVA AVE N
Mailing Address - Street 2:
Mailing Address - City:OAKDALE
Mailing Address - State:MN
Mailing Address - Zip Code:55128-2821
Mailing Address - Country:US
Mailing Address - Phone:612-382-0770
Mailing Address - Fax:
Practice Address - Street 1:4131 GENEVA AVE N
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:MN
Practice Address - Zip Code:55128-2821
Practice Address - Country:US
Practice Address - Phone:612-382-0770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-18
Last Update Date:2020-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker