MEDICARE: ACCESS RIDES TRANSPORT INC

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	:	1265248611
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCESS RIDES TRANSPORT INC

Provider Business Mailing Address
First Line	:	4729 GRAND AVE NE APT 323
Second Line	:
City	:	COLUMBIA HEIGHTS
State	:	MN
Zip	:	55421-3370
Country	:	US
Telephone Number	:	763-620-5333
Fax Number	:

Provider Business Practice Location Address
First Line	:	4729 GRAND AVE NE APT 323
Second Line	:
City	:	COLUMBIA HEIGHTS
State	:	MN
Zip	:	55421-3370
Country	:	US
Telephone Number	:	763-620-5333
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ZEMZEM MUSSIE MUHAMMED
Credential	:
Telephone Number	:	763-620-5333

Provider Enumeration Date	:	12/09/2024
Last Update Date	:	12/09/2024

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