MEDICARE: FUTURE TRANSPORTATION LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1144114265
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FUTURE TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	151 SILVER LAKE RD NW UNIT 5
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55112-8101
Country	:	US
Telephone Number	:	763-587-5299
Fax Number	:

Provider Business Practice Location Address
First Line	:	151 SILVER LAKE RD NW UNIT 5
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55112-8101
Country	:	US
Telephone Number	:	763-587-5299
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	OMAR ABDULLAH AHMED MUBARAK
Credential	:
Telephone Number	:	763-587-5299

Provider Enumeration Date	:	06/04/2025
Last Update Date	:	06/04/2025

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