Organization
MEDICRUISE TRANSPORTATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIFATAH L MOHAMED (PRESIDENT)
(651) 434-7202
Entity
Organization
Contact information
Practice address
1011 30TH ST NW UNIT 204, WILLMAR, MN 56201-4764
(651) 434-7202
Mailing address
1011 30TH ST NW UNIT 204, WILLMAR, MN 56201-4764
(651) 434-7202
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/06/2025
Last updated
08/16/2025
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