Active NPI
Ecumen
Doing business as Ecumen Lakeshore Transportation
- Non-emergency Medical Transport (VAN)
- Duluth, MN
National Provider Identifier
1376800045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 01108569
- Legal business name
- ECUMEN
- Doing business as
- Ecumen Lakeshore Transportation
- Practice address
- 4002 London Rd
Duluth, MN 55804-2243 - Phone
- (218) 625-8400
- Fax
- (218) 625-7139
- NPI assigned
- Apr 18, 2012
- Last updated
- Apr 18, 2012
- 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
- Scott Riddle
- Title
- VP of Finance
- Phone
- (651) 766-4300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | 01108569 | MN | Primary |
Addresses
Primary practice location
4002 London Rd
Duluth, MN 55804-2243
Mailing address
3530 Lexington Ave N
Shoreview, MN 55126-8166
Phone (651) 766-4325
Other names 1
- Ecumen Lakeshore Transportation
National Provider Directory
National Provider Directory- Tax ID family
- Ecumen Properties Inc
Other organizations with this tax ID 42
Organizations that report the same tax identification number in the National Provider Directory.
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- Assisted Living Facility
- Owatonna, MN
- NPI 1124234554
-
- Assisted Living Facility
- Worthington, MN
- NPI 1265646236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334707200000",
"number": "1376800045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3530 LEXINGTON AVE N",
"city": "SHOREVIEW",
"state": "MN",
"postal_code": "551268166",
"telephone_number": "651-766-4325",
"fax_number": "651-766-4479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4002 LONDON RD",
"city": "DULUTH",
"state": "MN",
"postal_code": "558042243",
"telephone_number": "218-625-8400",
"fax_number": "218-625-7139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ECUMEN",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-18",
"last_updated": "2012-04-18",
"status": "A",
"authorized_official_last_name": "RIDDLE",
"authorized_official_first_name": "SCOTT",
"authorized_official_title_or_position": "VP OF FINANCE",
"authorized_official_telephone_number": "651-766-4300"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "MN",
"license": "01108569",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Ecumen Lakeshore Transportation",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Duluth, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.