Organization Active NPI

Premier Handicap Services

  • Non-emergency Medical Transport (VAN)
  • Saint Paul, MN
National Provider Identifier
1366739203
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
742GHA Issued in MN
Legal business name
PREMIER HANDICAP SERVICES
Practice address
1342 Prosperity Ave
Saint Paul, MN 55106-2109
Phone
(612) 467-9684
NPI assigned
Jun 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Authorized official

Name
Mr. Eric Muluh Awa / Muluh
Title
Owner
Phone
(612) 467-9684

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 742GHA MN Primary

Addresses

Primary practice location

1342 Prosperity Ave
Saint Paul, MN 55106-2109

Mailing address

1342 Prosperity Ave
Saint Paul, MN 55106-2109
Phone (612) 467-9684

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1366739203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1342 PROSPERITY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062109",
            "telephone_number": "612-467-9684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1342 PROSPERITY AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551062109",
            "telephone_number": "612-467-9684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER HANDICAP SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "AWA / MULUH",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "MULUH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-467-9684",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "742GHA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; 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.