Organization
VIP TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABDIRISAK A ISMAIL (OWNER)
(763) 290-4178
Entity
Organization
Contact information
Practice address
2845 PASCAL ST APT 11G, ROSEVILLE, MN 55113-1787
(763) 290-4178
Mailing address
2845 PASCAL ST APT 11G, ROSEVILLE, MN 55113-1787
(763) 290-4178
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
04/06/2022
Last updated
04/06/2022
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