Organization
IMMEDIATECARE TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AHMEDWELI HASSAN FARAH (PRESIDENT/CEO)
(763) 432-5637
Entity
Organization
Contact information
Practice address
710 40TH AVE NE, COLUMBIA HEIGHTS, MN 55421-2901
(763) 432-5637
(763) 432-3866
Mailing address
710 40TH AVE NE, COLUMBIA HEIGHTS, MN 55421-2901
(763) 432-5637
(763) 432-3866
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
10/28/2014
Last updated
01/21/2016
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