Provider Demographics
NPI:1265950760
Name:EXPRESS TRANSPORTATION INC
Entity type:Organization
Organization Name:EXPRESS TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JAMAL
Authorized Official - Middle Name:
Authorized Official - Last Name:SAID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-205-3535
Mailing Address - Street 1:PO BOX 29331
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55429-0331
Mailing Address - Country:US
Mailing Address - Phone:612-205-3535
Mailing Address - Fax:
Practice Address - Street 1:3612 58 1/2 AVE N
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55429-3042
Practice Address - Country:US
Practice Address - Phone:612-205-3535
Practice Address - Fax:612-205-3535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-05
Last Update Date:2017-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)