Healthcare Provider Details

I. General information

NPI: 1760206700
Provider Name (Legal Business Name): 4 POINT O NON-EMERGENCY MEDICAL TRANSPORTATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2024
Last Update Date: 11/14/2024
Certification Date: 11/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13050 STEWART AVE
NORWOOD YOUNG AMERICA MN
55368-9769
US

IV. Provider business mailing address

13050 STEWART AVE
NORWOOD YOUNG AMERICA MN
55368-9769
US

V. Phone/Fax

Practice location:
  • Phone: 952-246-1779
  • Fax:
Mailing address:
  • Phone: 952-246-1779
  • 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: MRS. ELIZABETH RUTH WILHELMI
Title or Position: NEMT OFFICE MANAGER
Credential: ADMIN
Phone: 952-412-9899