Provider Demographics
NPI:1649643024
Name:SALAAM TRANSPORTATION INC
Entity type:Organization
Organization Name:SALAAM TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDUSALAAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HIRSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-235-0156
Mailing Address - Street 1:313 LITCHFIELD AVE SW
Mailing Address - Street 2:P O BOX:1687
Mailing Address - City:WILLMAR
Mailing Address - State:MN
Mailing Address - Zip Code:56201-3352
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:313 LITCHFIELD AVE SW
Practice Address - Street 2:P O BOX:1687
Practice Address - City:WILLMAR
Practice Address - State:MN
Practice Address - Zip Code:56201-3352
Practice Address - Country:US
Practice Address - Phone:320-235-0156
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-05
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN380226343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)