Organization Active NPI

Medway Transit LLC

  • Non-emergency Medical Transport (VAN)
  • Saint Cloud, MN
National Provider Identifier
1639906696
Registry record updated Sep 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
MEDWAY TRANSIT LLC
Practice address
22 Wilson Ave NE Ste 102
Saint Cloud, MN 56304-0406
Phone
(320) 223-5102
NPI assigned
Sep 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2024

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

Authorized official

Name
Abdiaziz Hilowle
Title
Operations Manager
Phone
(320) 223-5102

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

22 Wilson Ave NE Ste 102
Saint Cloud, MN 56304-0406

Mailing address

2407 County Road 74 Apt 204
Saint Cloud, MN 56301-7410
Phone (320) 223-5102

National Provider Directory

National Provider Directory

Locations

22 Wilson Ave NE
Ste 102
Saint Cloud, MN 56304
Phone (320) 223-5102

NPI Registry JSON

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1639906696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 COUNTY ROAD 74 APT 204",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563017410",
            "telephone_number": "320-223-5102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 WILSON AVE NE STE 102",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563040406",
            "telephone_number": "320-223-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDWAY TRANSIT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-15",
        "status": "A",
        "authorized_official_last_name": "HILOWLE",
        "authorized_official_first_name": "ABDIAZIZ",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "320-223-5102"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Sep 16, 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.