Provider Demographics
NPI:1457712465
Name:A M A TRANSPORTATION
Entity Type:Organization
Organization Name:A M A TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABDIKARIM
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:ABDILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-337-9023
Mailing Address - Street 1:521 LYN PARK CIR N
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55411-3327
Mailing Address - Country:US
Mailing Address - Phone:763-337-9023
Mailing Address - Fax:
Practice Address - Street 1:521 LYN PARK CIR N
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55411-3327
Practice Address - Country:US
Practice Address - Phone:763-337-9023
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-18
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)