Hiawatha Medical Transportation LLC

Primary specialty

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

License

861278400033 Issued in MN

Legal business name

HIAWATHA MEDICAL TRANSPORTATION LLC

Practice address

1017 E 22ND St
Minneapolis, MN 55404-2942

Phone

(612) 636-8284

NPI assigned

Jan 6, 2016

Organization subpart

No

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

Authorized official

Name

Barre Warsame Mohamed

Title

Manager

Phone

(612) 636-8284

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1710343793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 E 22ND ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042942",
            "telephone_number": "612-636-8284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 E 22ND ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554042942",
            "telephone_number": "612-636-8284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIAWATHA MEDICAL TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "BARRE",
        "authorized_official_middle_name": "WARSAME",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "612-636-8284"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "861278400033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Minneapolis, MN
• Providers in Minneapolis, 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 Jan 6, 2016; 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.