Healthcare Provider Details

I. General information

NPI: 1750123915
Provider Name (Legal Business Name): SAFA TRANSPORTATION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/10/2024
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6700 W OLD SHAKOPEE RD APT 226
BLOOMINGTON MN
55438-2617
US

IV. Provider business mailing address

1425 PAUL BUNYAN DR NW STE 4
BEMIDJI MN
56601-4163
US

V. Phone/Fax

Practice location:
  • Phone: 612-282-2446
  • Fax:
Mailing address:
  • Phone: 612-282-2446
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. AHMED OMAR ISLOW SR.
Title or Position: OWNER
Credential:
Phone: 612-282-2446