Organization Active NPI

Jubba Transportation Inc

  • Non-emergency Medical Transport (VAN)
  • Saint Cloud, MN
National Provider Identifier
1447776554
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
495279799MedicaidMN

Other names 1

  • Jubba Transportation Inc Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.