MEDICARE: FOSTER TRANSPORTATION SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013644509
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOSTER TRANSPORTATION SERVICES LLC

Provider Business Mailing Address
First Line	:	1409 STATE HIGHWAY 23 NORTH
Second Line	:	SANDSTONE
City	:	SANDSTONE
State	:	MN
Zip	:	55072-5006
Country	:	US
Telephone Number	:	612-401-8145
Fax Number	:

Provider Business Practice Location Address
First Line	:	1409 STATE HIGHWAY 23 NORTH
Second Line	:	SANDSTONE
City	:	SANDSTONE
State	:	MN
Zip	:	55072-5006
Country	:	US
Telephone Number	:	320-279-1355
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KENYI OKUCU
Credential	:
Telephone Number	:	612-401-8145

Provider Enumeration Date	:	08/04/2022
Last Update Date	:	08/04/2022

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Directions to “FOSTER TRANSPORTATION SERVICES LLC ” Practice Location

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