Organization
HEARTLAND SERVICE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDULAHI ALI OSMAN (CEO)
(734) 548-2095
Entity
Organization
Contact information
Practice address
248 OAK DR, EAGLE LAKE, MN 56024-3404
(734) 548-2095
Mailing address
248 OAK DR, EAGLE LAKE, MN 56024-3404
(734) 548-2095
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
791703400022
MN
343900000X
Non-emergency Medical Transport (VAN)
Primary
791703400022
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171W00000X
TRANSPORTATION
MN
01
—
172A00000X
MEDICAL TRANSPORTATION
MN
Enumeration date
01/15/2015
Last updated
01/15/2015
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