Organization Active NPI

Eagle Transportation

  • Private Vehicle
  • Mankato, MN
National Provider Identifier
1629526629
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
EAGLE TRANSPORTATION
Practice address
630 N 4TH St
Mankato, MN 56001-3413
Phone
(507) 304-3658
NPI assigned
Sep 19, 2016
Last updated
Jul 21, 2022By the provider in NPPES
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
Halima H Jamal
Title
Owner/Driver
Phone
(507) 304-3658

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Private Vehicle 347C00000X MN Primary

Addresses

Primary practice location

630 N 4TH St
Mankato, MN 56001-3413

Mailing address

630 N 4TH St
Mankato, MN 56001-3413
Phone (507) 304-3658

National Provider Directory

National Provider Directory

Locations

630 N 4th St
Mankato, MN 56001
Phone (507) 304-3658

NPI Registry JSON

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629526629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N 4TH ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013413",
            "telephone_number": "507-304-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N 4TH ST",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "560013413",
            "telephone_number": "507-304-3658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-19",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JAMAL",
        "authorized_official_first_name": "HALIMA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER/DRIVER",
        "authorized_official_telephone_number": "507-304-3658"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "MN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mankato, 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.