Soaring Eagles Transportation, Inc.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

STS # 374680 Issued in MN

Legal business name

SOARING EAGLES TRANSPORTATION, INC.

Practice address

14279 42ND St
Princeton, MN 55371-6702

Phone

(888) 387-5298

Fax

(877) 570-8720

NPI assigned

Aug 3, 2008

Last updated

Aug 3, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jim Conrad Williams

Title

Office Manager

Phone

(763) 656-3268

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1217721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217721600000",
    "number": "1356507966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14279 42ND ST",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553716702",
            "telephone_number": "888-387-5298",
            "fax_number": "877-570-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14279 42ND ST",
            "city": "PRINCETON",
            "state": "MN",
            "postal_code": "553716702",
            "telephone_number": "888-387-5298",
            "fax_number": "877-570-8720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOARING EAGLES TRANSPORTATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-03",
        "last_updated": "2008-08-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JIM",
        "authorized_official_middle_name": "CONRAD",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "763-656-3268"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "STS # 374680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Princeton, MN
• Providers in Princeton, MN by specialty
• Non-emergency Medical Transport (VAN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2008; 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.