Organization
SELECT TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH A GREEN (PRESIDENT)
(763) 267-5999
Entity
Organization
Contact information
Practice address
12631 FREMONT AVE, SUITE #3, ZIMMERMAN, MN 55398-7100
(763) 267-5999
(763) 856-5734
Mailing address
12631 FREMONT AVE, SUITE #3, ZIMMERMAN, MN 55398-7100
(763) 267-5999
(763) 856-5734
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
T200286239002
MN
Other
Enumeration date
11/22/2016
Last updated
11/22/2016
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