MEDICARE: ACE INTERPRETATION SERVICE

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	251T00000X	PACE Provider Organization

General Provider Information

NPI Number	:	1154795748
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACE INTERPRETATION SERVICE

Provider Business Mailing Address
First Line	:	415 CEDAR AVE S
Second Line	:	#4
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55454-1011
Country	:	US
Telephone Number	:	612-483-9769
Fax Number	:	612-435-4934

Provider Business Practice Location Address
First Line	:	415 CEDAR AVENUE SOUTH
Second Line	:	#4
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55454
Country	:	US
Telephone Number	:	612-483-9769
Fax Number	:	612-435-4934

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LIBAN YASIN ALISHIRE
Credential	:	INTERPETER
Telephone Number	:	612-483-9769

Provider Enumeration Date	:	11/19/2015
Last Update Date	:	11/19/2015

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