Organization
GOOD SAMARITAN TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J VANG (MANAGER)
(763) 732-0118
Entity
Organization
Contact information
Practice address
12800 INDUSTRIAL PARK BLVD, STE 150D, PLYMOUTH, MN 55441-3974
(763) 732-0118
Mailing address
12800 INDUSTRIAL PARK BLVD, STE 150D, PLYMOUTH, MN 55441-3974
(763) 732-0118
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
349019
MN
Other
Enumeration date
05/07/2008
Last updated
05/07/2008
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