Active NPI
Ibf Transport LLC
- Non-emergency Medical Transport (VAN)
- Champlin, MN
National Provider Identifier
1366249740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- IBF TRANSPORT LLC
- Practice address
- 10911 Rhode Island Cir N
Champlin, MN 55316-3256 - Phone
- (763) 232-6365
- NPI assigned
- Feb 25, 2025
- 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
- Mrs. Olitha Jamesetta Fofana, NP
- Title
- Manager
- Phone
- (763) 218-9501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
10911 Rhode Island Cir N
Champlin, MN 55316-3256
Mailing address
10911 Rhode Island Cir N
Champlin, MN 55316-3256
Phone (763) 232-6365
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Driver
- Champlin, MN
- NPI 1326845710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741305600000",
"number": "1366249740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10911 RHODE ISLAND CIR N",
"city": "CHAMPLIN",
"state": "MN",
"postal_code": "553163256",
"telephone_number": "763-232-6365"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10911 RHODE ISLAND CIR N",
"city": "CHAMPLIN",
"state": "MN",
"postal_code": "553163256",
"telephone_number": "763-232-6365"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IBF TRANSPORT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-25",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A",
"authorized_official_last_name": "FOFANA",
"authorized_official_first_name": "OLITHA",
"authorized_official_middle_name": "JAMESETTA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "763-218-9501",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Champlin, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.