Organization Active NPI

Archangel Transportation Inc.

  • Non-emergency Medical Transport (VAN)
  • Plymouth, MN
National Provider Identifier
1679880074
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
STS#374995 Issued in MN
Legal business name
ARCHANGEL TRANSPORTATION INC.
Practice address
16410 41St Ave N
Plymouth, MN 55446-2692
Phone
(612) 998-8708
Fax
(763) 559-8399
NPI assigned
Sep 7, 2010
Last updated
Sep 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Authorized official

Name
Mr. Aaron L Herzberg
Title
Co-Owner
Phone
(612) 998-8708

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X STS#374995 MN Primary

Addresses

Primary practice location

16410 41St Ave N
Plymouth, MN 55446-2692

Mailing address

16410 41St Ave N
Plymouth, MN 55446-2692
Phone (612) 998-8708

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283817600000",
    "number": "1679880074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16410 41ST AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554462692",
            "telephone_number": "612-998-8708",
            "fax_number": "763-559-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16410 41ST AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554462692",
            "telephone_number": "612-998-8708",
            "fax_number": "763-559-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCHANGEL TRANSPORTATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A",
        "authorized_official_last_name": "HERZBERG",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "612-998-8708",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "STS#374995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.