Active NPI
Select Transportation
- Non-emergency Medical Transport (VAN)
- Zimmerman, MN
National Provider Identifier
1154864254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- T200286239002
- 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
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mr. Kenneth A Green
- Title
- President
- Phone
- (763) 267-5999
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | T200286239002 | MN | Primary |
Addresses
NPPES NPI RegistryPrimary 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 22, 2016.
{
"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.