Organization
ELITE TRANSPORT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN ALAN BAKER (CHIEF FINANCIAL OFFICER)
(320) 428-4748
Entity
Organization
Contact information
Practice address
630 30TH AVE N, SAINT CLOUD, MN 56303-3136
(320) 259-4066
Mailing address
630 30TH AVE N, SAINT CLOUD, MN 56303-3136
(320) 259-4066
Taxonomy
Speciality
Code
Description
License number
State
342000000X
Transportation Network Company
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
04/09/2019
Last updated
01/22/2024
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