Active NPI
Elite Transport Inc
- Non-emergency Medical Transport (VAN)
- Saint Cloud, MN
National Provider Identifier
1508329368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Legal business name
- ELITE TRANSPORT INC
- Practice address
- 630 30TH Ave N
Saint Cloud, MN 56303-3136 - Phone
- (320) 259-4066
- NPI assigned
- Apr 9, 2019
- 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
- Bryan Alan Baker
- Title
- Chief Financial Officer
- Phone
- (320) 428-4748
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transportation Network Company | 342000000X | |||
| Secured Medical Transport (VAN) | 343800000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | Primary | ||
| Transportation Broker | 347E00000X |
Addresses
Primary practice location
630 30TH Ave N
Saint Cloud, MN 56303-3136
Mailing address
630 30TH Ave N
Saint Cloud, MN 56303-3136
Phone (320) 259-4066
National Provider Directory
National Provider DirectoryLocations
14 7th Ave N
Ste 35
Saint Cloud, MN 56303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705881600000",
"number": "1508329368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "630 30TH AVE N",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563033136",
"telephone_number": "320-259-4066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 30TH AVE N",
"city": "SAINT CLOUD",
"state": "MN",
"postal_code": "563033136",
"telephone_number": "320-259-4066"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE TRANSPORT INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-04-09",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A",
"authorized_official_last_name": "BAKER",
"authorized_official_first_name": "BRYAN",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "320-428-4748"
},
"taxonomies": [
{
"code": "342000000X",
"taxonomy_group": "",
"desc": "Transportation Network Company",
"state": null,
"license": null,
"primary": false
},
{
"code": "343800000X",
"taxonomy_group": "",
"desc": "Secured Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
},
{
"code": "347E00000X",
"taxonomy_group": "",
"desc": "Transportation Broker",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.