Healthcare Provider Details

I. General information

NPI: 1194269621
Provider Name (Legal Business Name): HEALTHCHECK TRANSPORTATION, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2016
Last Update Date: 12/19/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1299 ARCADE ST STE 8
SAINT PAUL MN
55106-2080
US

IV. Provider business mailing address

5600 PIONEER CREEK DR STE 1B
MAPLE PLAIN MN
55359-9010
US

V. Phone/Fax

Practice location:
  • Phone: 763-732-0118
  • Fax: 763-732-0117
Mailing address:
  • Phone: 763-732-0118
  • Fax: 763-732-0117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number911946600031
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number911946600031
License Number StateMN

VIII. Authorized Official

Name: KATHERINE V KUE
Title or Position: PRESIDENT
Credential:
Phone: 952-529-0433