Active NPI
Southside Transportation LLC
- Non-emergency Medical Transport (VAN)
- Minneapolis, MN
National Provider Identifier
1336607233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- SOUTHSIDE TRANSPORTATION LLC
- Practice address
- 2940 Chicago Ave
Minneapolis, MN 55407-1322 - Phone
- (507) 351-4212
- NPI assigned
- Mar 9, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Asha Busuri
- Title
- Ceo/President
- Phone
- (507) 351-4212
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
2940 Chicago Ave
Minneapolis, MN 55407-1322
Mailing address
117 Cole CT
Mankato, MN 56001-6426
Phone (507) 351-4212
National Provider Directory
National Provider DirectoryLocations
2940 Chicago Ave
Minneapolis, MN 55407
Phone (507) 351-4212
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1552089600000",
"number": "1336607233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 COLE CT",
"city": "MANKATO",
"state": "MN",
"postal_code": "560016426",
"telephone_number": "507-351-4212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 CHICAGO AVE",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554071322",
"telephone_number": "507-351-4212"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHSIDE TRANSPORTATION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-09",
"last_updated": "2019-03-09",
"status": "A",
"authorized_official_last_name": "BUSURI",
"authorized_official_first_name": "ASHA",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "507-351-4212"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Minneapolis, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.