Healthcare Provider Details
I. General information
NPI: 1053232611
Provider Name (Legal Business Name): HORIZON TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4101 W 98TH ST APT 305
MINNEAPOLIS MN
55437-2132
US
IV. Provider business mailing address
811 E WASHINGTON AVE STE 400
MADISON WI
53703-4028
US
V. Phone/Fax
- Phone: 612-402-0015
- Fax:
- Phone: 612-402-0015
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMIR
A
MUHUMED
Title or Position: MANAGER
Credential:
Phone: 612-402-0015