Organization
PURE MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMEDO KAMAL MOHAMMED RESPIRATORY THERAPIS (OWNER)
(952) 297-7855
Entity
Organization
Contact information
Practice address
9201 GARLAND LN N APT 132, MAPLE GROVE, MN 55311-1341
(952) 297-7855
Mailing address
9201 GARLAND LN N APT 132, MAPLE GROVE, MN 55311-1341
(952) 297-7855
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/02/2016
Last updated
05/02/2016
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