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
Organization subpart
No

Authorized official

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

National Provider Directory

National Provider Directory

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

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.

Verify at the official NPI Registry.