Active NPI
Talo Transport (T.T.) Inc.
- Non-emergency Medical Transport (VAN)
- Minneapolis, MN
National Provider Identifier
1013296029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- TALO TRANSPORT (T.T.) INC.
- Practice address
- 1806 Riverside Ave Ste 3
Minneapolis, MN 55454-1035 - Phone
- (763) 355-2811
- Fax
- (612) 338-5917
- NPI assigned
- Aug 8, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dahir Mirreh Jibreel
- Title
- President/Ceo
- Phone
- (763) 355-2811
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Secured Medical Transport (VAN) | 343800000X | MN | ||
| Non-emergency Medical Transport (VAN) | 343900000X | MN | Primary |
Addresses
Primary practice location
1806 Riverside Ave Ste 3
Minneapolis, MN 55454-1035
Mailing address
1806 Riverside Ave Ste 3
Minneapolis, MN 55454-1035
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376358 | Medicaid | MN |
National Provider Directory
National Provider Directory- Tax ID family
- Talo Transport Service TT
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Private Vehicle
- Minneapolis, MN
- NPI 1821305483
Locations
1806 Riverside Ave
Ste 3
Minneapolis, MN 55454
Phone (763) 355-2811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312761600000",
"number": "1013296029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1806 RIVERSIDE AVE STE 3",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554541035",
"fax_number": "612-338-5917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1806 RIVERSIDE AVE STE 3",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554541035",
"telephone_number": "763-355-2811",
"fax_number": "612-338-5917"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TALO TRANSPORT (T.T.) INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-08",
"last_updated": "2011-08-08",
"status": "A",
"authorized_official_last_name": "JIBREEL",
"authorized_official_first_name": "DAHIR",
"authorized_official_middle_name": "MIRREH",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "763-355-2811",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "343800000X",
"taxonomy_group": "",
"desc": "Secured Medical Transport (VAN)",
"state": "MN",
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "MN",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "376358",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.