Organization
ANY TIME TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT JAY PENNER (PRESIDENT)
(701) 232-3322
Entity
Organization
Contact information
Practice address
1107 1ST AVE S, FARGO, ND 58103-1744
(701) 232-3322
(701) 232-3399
Mailing address
1107 1ST AVE S, FARGO, ND 58103-1744
(701) 232-3322
(701) 232-3399
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
434M3AN
—
MN
05
—
81-00038
—
MN
Enumeration date
04/11/2007
Last updated
05/14/2008
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