Provider Demographics
NPI:1831448562
Name:HEALTHCARE TRANSPORTATION SERVICES L.L.C
Entity type:Organization
Organization Name:HEALTHCARE TRANSPORTATION SERVICES L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MBR
Authorized Official - Prefix:MR
Authorized Official - First Name:MOHAMED
Authorized Official - Middle Name:A
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-210-1799
Mailing Address - Street 1:2645 1ST AVE S
Mailing Address - Street 2:SUITE B04
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55408-1806
Mailing Address - Country:US
Mailing Address - Phone:612-545-5517
Mailing Address - Fax:612-545-5516
Practice Address - Street 1:2645 1ST AVE S
Practice Address - Street 2:SUITE B04
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55408-1806
Practice Address - Country:US
Practice Address - Phone:612-545-5517
Practice Address - Fax:612-545-5516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-10
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)