Advance MN Transportation, Inc

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

ADVANCE MN TRANSPORTATION, INC

Practice address

6428 Neddersen Pkwy
Brooklyn Park, MN 55445-3202

Phone

(763) 614-6142

NPI assigned

May 29, 2015

Last updated

May 29, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Shamsudin Yusuf Hassan

Title

President

Phone

(763) 614-6142

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1124408653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6428 NEDDERSEN PKWY",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554453202",
            "telephone_number": "763-614-6142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6428 NEDDERSEN PKWY",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554453202",
            "telephone_number": "763-614-6142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE MN TRANSPORTATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "SHAMSUDIN",
        "authorized_official_middle_name": "YUSUF",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-614-6142",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Non-emergency Medical Transport (VAN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.