Organization Active NPI

Elite Transport Inc

  • Non-emergency Medical Transport (VAN)
  • Saint Cloud, MN
National Provider Identifier
1508329368
Registry record updated Jan 22, 2024
On this page

Key facts

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

Updated by the provider on Jan 22, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.