Organization
ATC TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EVANS EJIMADU (OWNER)
(952) 920-6944
Entity
Organization
Contact information
Practice address
2257 LOUISIANA AVE S, ST LOUIS PARK, MN 55426-2718
(952) 920-6944
Mailing address
2257 LOUISIANA AVE S, ST LOUIS PARK, MN 55426-2718
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
374583
MN
Other
Enumeration date
08/01/2008
Last updated
08/01/2008
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