Organization Active NPI

Select Transportation

  • Non-emergency Medical Transport (VAN)
  • Zimmerman, MN
National Provider Identifier
1154864254
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
T200286239002 Issued in MN
Legal business name
SELECT TRANSPORTATION
Practice address
12631 Fremont Ave
Suite #3
Zimmerman, MN 55398-7100
Phone
(763) 267-5999
Fax
(763) 856-5734
NPI assigned
Nov 22, 2016
Last updated
Nov 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Authorized official

Name
Mr. Kenneth A Green
Title
President
Phone
(763) 267-5999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X T200286239002 MN Primary

Addresses

Primary practice location

12631 Fremont Ave
Suite #3
Zimmerman, MN 55398-7100

Mailing address

12631 Fremont Ave
Suite #3
Zimmerman, MN 55398-7100
Phone (763) 267-5999

National Provider Directory

National Provider Directory

Locations

12631 Fremont Ave
Ste 3
Zimmerman, MN 55398
Phone (763) 267-5999

NPI Registry JSON

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

{
    "created_epoch": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1154864254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12631 FREMONT AVE",
            "address_2": "SUITE #3",
            "city": "ZIMMERMAN",
            "state": "MN",
            "postal_code": "553987100",
            "telephone_number": "763-267-5999",
            "fax_number": "763-856-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12631 FREMONT AVE",
            "address_2": "SUITE #3",
            "city": "ZIMMERMAN",
            "state": "MN",
            "postal_code": "553987100",
            "telephone_number": "763-267-5999",
            "fax_number": "763-856-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "763-267-5999",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "T200286239002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zimmerman, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.