Active NPI
Jubba Transportation Inc
- Non-emergency Medical Transport (VAN)
- Saint Cloud, MN
National Provider Identifier
1447776554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- JUBBA TRANSPORTATION INC
- Doing business as
- Jubba Transportation Inc
- Practice address
- 2719 W Division St Ste 102
Saint Cloud, MN 56301-3420 - Phone
- (320) 282-0820
- NPI assigned
- Aug 21, 2017
- 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
- Ibrahim S Abdi
- Title
- President
- Phone
- (320) 282-0820
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
2719 W Division St Ste 102
Saint Cloud, MN 56301-3420
Mailing address
2719 W Division St Ste 102
Saint Cloud, MN 56301-3420
Phone (320) 282-0820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 495279799 | Medicaid | MN |
Other names 1
- Jubba Transportation Inc
National Provider Directory
National Provider DirectoryLocations
2719 W Division St
Ste 102
Saint Cloud, MN 56301
Phone (320) 282-0820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1447776554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2719 W DIVISION ST STE 102",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563013420",
"telephone_number": "320-282-0820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2719 W DIVISION ST STE 102",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563013420",
"telephone_number": "320-282-0820"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUBBA TRANSPORTATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-08-21",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "ABDI",
"authorized_official_first_name": "IBRAHIM",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "320-282-0820"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "495279799",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Jubba Transportation Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Cloud, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.