Affordable Community Transportation

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

374612 Issued in MN

Legal business name

AFFORDABLE COMMUNITY TRANSPORTATION

Practice address

9799 Valley Forge LN N
Maple Grove, MN 55369-3701

Phone

(763) 391-1746

Fax

(763) 391-9406

NPI assigned

May 9, 2009

Last updated

May 9, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. James S. Worlobah

Title

Founder/President

Phone

(763) 391-1746

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1241827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241827200000",
    "number": "1609000330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9799 VALLEY FORGE LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553693701",
            "telephone_number": "763-391-1746",
            "fax_number": "763-391-9406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9799 VALLEY FORGE LN N",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553693701",
            "telephone_number": "763-391-1746",
            "fax_number": "763-391-9406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE COMMUNITY TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-09",
        "last_updated": "2009-05-09",
        "status": "A",
        "authorized_official_last_name": "WORLOBAH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "FOUNDER/PRESIDENT",
        "authorized_official_telephone_number": "763-391-1746",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "374612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Non-emergency Medical Transport (VAN) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2009; 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.