Healthcare Provider Details

I. General information

NPI: 1063243442
Provider Name (Legal Business Name): GA TRANSPORTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2024
Last Update Date: 08/08/2024
Certification Date: 08/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 E 146TH ST # C
BURNSVILLE MN
55337-6703
US

IV. Provider business mailing address

8969 MASSIE CURV
EDEN PRAIRIE MN
55347-2192
US

V. Phone/Fax

Practice location:
  • Phone: 763-325-7029
  • Fax:
Mailing address:
  • Phone: 763-325-7029
  • 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: ABDULKHADER GELLE
Title or Position: OWNER/PRESIDENT
Credential:
Phone: 763-325-7029