Organization
MINNESOTA TRANSPORTATION SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROCKY THAI VANG (OWNER)
(651) 757-8296
Entity
Organization
Contact information
Practice address
1001 JOHNSON PARKWAY, SUITE #127, SAINT PAUL, MN 55106
(651) 414-0083
(651) 414-9989
Mailing address
1001 JOHNSON PARKWAY, SUITE #127, SAINT PAUL, MN 55106
(651) 414-0083
(651) 414-9989
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
1958427-2
MN
261QA0600X
Adult Day Care Clinic/Center
BY74451
MN
343900000X
Non-emergency Medical Transport (VAN)
1958427-2
MN
343900000X
Non-emergency Medical Transport (VAN)
Primary
BY74451
MN
347C00000X
Private Vehicle
1958427-2
MN
347C00000X
Private Vehicle
BY74451
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
345G3ME
BLUE CROSS BLUE SHIELD
MN
Enumeration date
07/27/2007
Last updated
09/29/2011
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