Organization
MEDIBRIDGE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISSA M OMAR (OWNER/CEO)
(952) 446-5484
Entity
Organization
Contact information
Practice address
5505 W 123RD ST STE 104, SAVAGE, MN 55378-5506
(952) 239-1717
Mailing address
5505 W 123RD ST STE 104, SAVAGE, MN 55378-5506
(952) 239-1717
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/16/2023
Last updated
08/13/2024
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