MEDICARE: GETWAY TRANSPORTATION 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)

General Provider Information

NPI Number	:	1275384828
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GETWAY TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	2718 NICOLLET AVE STE 206
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55408-1648
Country	:	US
Telephone Number	:	612-230-9905
Fax Number	:

Provider Business Practice Location Address
First Line	:	2718 NICOLLET AVE STE 206
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55408-1648
Country	:	US
Telephone Number	:	612-230-9905
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. FARDOWSA SHEIKH MOHAMED DAHIR
Credential	:
Telephone Number	:	612-209-4007

Provider Enumeration Date	:	04/01/2024
Last Update Date	:	04/01/2024

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