Organization
WATER'S EDGE TRANSPORTATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JODI ANN MORSCHEN (PRESIDENT)
(952) 442-7022
Entity
Organization
Contact information
Practice address
380 INDUSTRIAL BLVD, WACONIA, MN 55387-1738
(952) 442-7022
(952) 442-9022
Mailing address
380 INDUSTRIAL BLVD, WACONIA, MN 55387-1738
(952) 442-7022
(952) 442-9022
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
070305003
PRIME WEST
MN
01
—
08N76WA
BLUE CROSS BLUE SHIELD
MN
01
—
183739
UCARE
MN
01
—
183740
UCARE
MN
01
—
8100040
MEDICA
MN
05
—
A520214100
—
MN
Enumeration date
06/18/2009
Last updated
06/18/2009
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