Provider Demographics
NPI:1831417880
Name:RELIANT TRANSPORTATION LLC
Entity type:Organization
Organization Name:RELIANT TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DOOL
Authorized Official - Middle Name:MAHAT
Authorized Official - Last Name:SALAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-750-7755
Mailing Address - Street 1:2700 1ST ST N
Mailing Address - Street 2:SUITE 211
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56303-4256
Mailing Address - Country:US
Mailing Address - Phone:612-750-7755
Mailing Address - Fax:320-230-1443
Practice Address - Street 1:2700 1ST ST N
Practice Address - Street 2:SUITE 211
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-4256
Practice Address - Country:US
Practice Address - Phone:612-750-7755
Practice Address - Fax:320-230-1443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-13
Last Update Date:2010-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)