Provider Demographics
NPI:1255111795
Name:RAYBON GLOBAL TRANSPORTATION LLG
Entity type:Organization
Organization Name:RAYBON GLOBAL TRANSPORTATION LLG
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:MR
Authorized Official - First Name:FREEBORN IFFIE
Authorized Official - Middle Name:IFFIE
Authorized Official - Last Name:EMADAMERHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-242-6279
Mailing Address - Street 1:13914 144TH AVE N
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:MN
Mailing Address - Zip Code:55327-4421
Mailing Address - Country:US
Mailing Address - Phone:612-242-6279
Mailing Address - Fax:
Practice Address - Street 1:13914 144TH AVE N
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:MN
Practice Address - Zip Code:55327-4421
Practice Address - Country:US
Practice Address - Phone:612-242-6279
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)