MEDICARE: SALAH CARE TRANSPORTATION INC

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	:	1629866546
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SALAH CARE TRANSPORTATION INC

Provider Business Mailing Address
First Line	:	2817 ANTHONY LN S STE 103
Second Line	:
City	:	SAINT ANTHONY
State	:	MN
Zip	:	55418-2489
Country	:	US
Telephone Number	:	612-326-9544
Fax Number	:	612-682-0234

Provider Business Practice Location Address
First Line	:	2817 ANTHONY LN S STE 103
Second Line	:
City	:	SAINT ANTHONY
State	:	MN
Zip	:	55418-2489
Country	:	US
Telephone Number	:	612-326-9544
Fax Number	:	612-682-0234

Authorized Official
Title or Position	:	MANAGER
Name	:	ABDIFATAH ABDULLAHI SALAH
Credential	:
Telephone Number	:	651-352-0365

Provider Enumeration Date	:	04/29/2025
Last Update Date	:	07/17/2025

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