Provider Demographics
NPI:1952774952
Name:METRO MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:METRO MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDI
Authorized Official - Middle Name:SHARMARKE
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-222-1119
Mailing Address - Street 1:2500 MINNEHAHA AVE
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-4118
Mailing Address - Country:US
Mailing Address - Phone:612-222-1119
Mailing Address - Fax:612-223-6727
Practice Address - Street 1:2500 MINNEHAHA AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-4118
Practice Address - Country:US
Practice Address - Phone:612-222-1119
Practice Address - Fax:612-223-6727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-12
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)