Healthcare Provider Details

I. General information

NPI: 1477971729
Provider Name (Legal Business Name): TRANSPORTATION MANAGEMENT CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2014
Last Update Date: 04/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1907 CHARLES AVE
SAINT PAUL MN
55104-1745
US

IV. Provider business mailing address

1907 CHARLES AVE
SAINT PAUL MN
55104-1745
US

V. Phone/Fax

Practice location:
  • Phone: 651-645-1640
  • Fax: 651-659-9393
Mailing address:
  • Phone: 651-645-1640
  • Fax: 651-659-9393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: MR. GARY ALLEN TOURNIER
Title or Position: PRESIDENT
Credential:
Phone: 651-645-1640