Statewide Medical Transportation

Primary specialty

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

Legal business name

STATEWIDE MEDICAL TRANSPORTATION

Practice address

44 28TH Ave N
107E
Saint Cloud, MN 56303-4588

Phone

(320) 420-6587

NPI assigned

Jan 21, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Osman Gure

Title

Ceo

Phone

(320) 420-6587

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1453334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453334400000",
    "number": "1790142883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 853",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563020853",
            "telephone_number": "320-420-6587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 28TH AVE N",
            "address_2": "107E",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563034588",
            "telephone_number": "320-420-6587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATEWIDE MEDICAL TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-21",
        "last_updated": "2016-01-21",
        "status": "A",
        "authorized_official_last_name": "GURE",
        "authorized_official_first_name": "OSMAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "320-420-6587",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joetta R Stangl, RN
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• Sara Kaye Stark Davis, PHARMD
• Rose Melinda Stark-Rose, PHD
• Steven Daniel Stasiewicz, NURSE PRACTITIONER
• Joseph E Stattine, RPH
• Brandon Stavish
• Jerome John Stawarski
• STCH St Cloud LLC
• Stearns County

• Non-emergency Medical Transport (VAN) in Saint Cloud, MN
• Providers in Saint Cloud, 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 21, 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.