Organization
EDINA TRANSPORTATION CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIBRIL M OMAR (OWNER)
(952) 217-0730
Entity
Organization
Contact information
Practice address
912 E 24TH ST STE M112, MINNEAPOLIS, MN 55404-3869
(952) 217-0730
(612) 246-3055
Mailing address
912 E 24TH ST STE M112, MINNEAPOLIS, MN 55404-3869
(952) 217-0730
(612) 246-3055
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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