Healthcare Provider Details

I. General information

NPI: 1669603742
Provider Name (Legal Business Name): ATTABOYS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2009
Last Update Date: 09/21/2022
Certification Date: 09/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

606 HIGHWAY 123
SANDSTONE MN
55072-5110
US

IV. Provider business mailing address

606 MN HWY 123 PO BOX 26
SANDSTONE MN
55072
US

V. Phone/Fax

Practice location:
  • Phone: 320-245-5355
  • Fax: 320-245-0554
Mailing address:
  • Phone: 320-245-5355
  • Fax: 320-216-7638

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: MRS. KELLY MARIE ANDERSEN
Title or Position: CFO
Credential:
Phone: 320-237-4227