Organization
RIFT VALLEY TRANSPORTATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EBISSO K. UKA (PRESIDENT)
(651) 644-5494
Entity
Organization
Contact information
Practice address
1821 UNIVERSITY AVE W STE S290, SAINT PAUL, MN 55104-2898
(651) 644-5494
(651) 644-4079
Mailing address
1821 UNIVERSITY AVE W STE S290, SAINT PAUL, MN 55104-2898
(651) 644-5494
(651) 644-4079
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
371861
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
784485900
—
MN
Enumeration date
03/03/2008
Last updated
07/29/2015
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