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NPI Code Detail

MEDICARE: GLOBAL TRANSPORT LLC

MEDICARE: GLOBAL TRANSPORT 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
1343900000XNon-emergency Medical Transport (VAN)806682700025MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
14185537OTHERMNNON- EMERGENCY TRANSPORTATION

General Provider Information

NPI Number : 1366812984
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLOBAL TRANSPORT LLC
Provider Business Mailing Address
First Line : 2701 15TH AVE S APT 202
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-1168
Country : US
Telephone Number : 612-800-4888
Fax Number :
Provider Business Practice Location Address
First Line : 2701 15TH AVE S APT 202
Second Line :
City : MINNEAPOLIS
State : MN
Zip : 55407-1168
Country : US
Telephone Number : 612-800-4888
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MR. MUKTAR YUSUF
Credential :
Telephone Number : 612-800-4888
Provider Enumeration Date : 09/25/2015
Last Update Date : 10/30/2015

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Directions to “GLOBAL TRANSPORT LLC ” Practice Location

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