MEDICARE: CONTINENTAL CONSULTING GROUP 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)	MARWO	MN

General Provider Information

NPI Number	:	1669860631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CONTINENTAL CONSULTING GROUP LLC

Provider Business Mailing Address
First Line	:	2647 NICOLLET AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55408-1629
Country	:	US
Telephone Number	:	612-396-3762
Fax Number	:

Provider Business Practice Location Address
First Line	:	2647 NICOLLET AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55408-1629
Country	:	US
Telephone Number	:	612-396-3762
Fax Number	:

Authorized Official
Title or Position	:	MANAGER/OWNER
Name	:	MOHAMED AHMED ABDULLE
Credential	:	MSS
Telephone Number	:	612-396-3762

Provider Enumeration Date	:	12/29/2014
Last Update Date	:	12/29/2014

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