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NPI Code Detail

MEDICARE: BLUE CARE TRANSPORTATION LLC

MEDICARE: BLUE CARE 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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1568272243
Entity Type Code : Organization
Provider Name (Legal Business Name) : BLUE CARE TRANSPORTATION LLC
Provider Business Mailing Address
First Line : 13844 GRANADA WAY
Second Line :
City : APPLE VALLEY
State : MN
Zip : 55124-5058
Country : US
Telephone Number : 612-456-2090
Fax Number :
Provider Business Practice Location Address
First Line : 13844 GRANADA WAY
Second Line :
City : APPLE VALLEY
State : MN
Zip : 55124-5058
Country : US
Telephone Number : 612-456-2090
Fax Number :
Authorized Official
Title or Position : OWNER/ DIRECTOR
Name : FAHAD OMAR MOHAMED MAHAMOUD
Credential :
Telephone Number : 612-456-2090
Provider Enumeration Date : 01/13/2025
Last Update Date : 01/13/2025

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Directions to “BLUE CARE TRANSPORTATION LLC ” Practice Location

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