Organization Active NPI

Direct Transportation LLC

  • Non-emergency Medical Transport (VAN)
  • St Anthony, MN
National Provider Identifier
1184083669
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
R528139379115 Issued in MN
Legal business name
DIRECT TRANSPORTATION LLC
Practice address
3055 Old Highway 8 Ste 101I
St Anthony, MN 55418-2500
Phone
(612) 423-1060
NPI assigned
Feb 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Authorized official

Name
Mr. Hassan OmarNPI 1932566106
Title
Owner
Phone
(612) 423-1060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X R528139379115 MN Primary

Addresses

Primary practice location

3055 Old Highway 8 Ste 101I
St Anthony, MN 55418-2500

Mailing address

3055 Old Highway 8 Ste 101I
St Anthony, MN 55418-2500
Phone (612) 423-1060

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455235200000",
    "number": "1184083669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3055 OLD HIGHWAY 8 STE 101I",
            "city": "ST ANTHONY",
            "state": "MN",
            "postal_code": "554182500",
            "telephone_number": "612-423-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3055 OLD HIGHWAY 8 STE 101I",
            "city": "ST ANTHONY",
            "state": "MN",
            "postal_code": "554182500",
            "telephone_number": "612-423-1060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIRECT TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-423-1060",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "R528139379115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Anthony, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.