Organization
ON TIME MOBILITY NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERRY BOGONKO (OPERATIONS MANAGER)
(952) 212-9816
Entity
Organization
Contact information
Practice address
900 W 128TH ST, STE 115, BURNSVILLE, MN 55337-2455
(952) 895-1111
(952) 314-8787
Mailing address
900 W 128TH ST, STE 115, BURNSVILLE, MN 55337-2455
(952) 895-1111
(952) 314-8787
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/13/2015
Last updated
11/13/2015
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