Organization
STATEWIDE MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSMAN GURE (CEO)
(320) 420-6587
Entity
Organization
Contact information
Practice address
44 28TH AVE N, 107E, SAINT CLOUD, MN 56303-4588
(320) 420-6587
Mailing address
PO BOX 853, SAINT CLOUD, MN 56302-0853
(320) 420-6587
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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