Organization
SOUTHWEST TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OMAR M ADOW (EXECUTIVE DIRECTOR)
(612) 968-3902
Entity
Organization
Contact information
Practice address
1234 43 1/2 AVE NE, COLUMBIA HEIGHTS, MN 55421-3021
(612) 868-3902
Mailing address
1234 43 1/2 AVE NE, COLUMBIA HEIGHTS, MN 55421-3021
(612) 868-3902
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
D374074663414
MN
344600000X
Taxi
D374074663414
MN
Other
Enumeration date
12/07/2015
Last updated
12/07/2015
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