Organization Active NPI

Good Samaritan Transportation

  • Non-emergency Medical Transport (VAN)
  • Plymouth, MN
National Provider Identifier
1801062963
Registry record updated May 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
License
349019 Issued in MN
Legal business name
GOOD SAMARITAN TRANSPORTATION
Practice address
12800 Industrial Park Blvd
Ste 150D
Plymouth, MN 55441-3974
Phone
(763) 732-0118
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2008

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

Authorized official

Name
J Vang
Title
Manager
Phone
(763) 732-0118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X 349019 MN Primary

Addresses

Primary practice location

12800 Industrial Park Blvd
Ste 150D
Plymouth, MN 55441-3974

Mailing address

12800 Industrial Park Blvd
Ste 150D
Plymouth, MN 55441-3974
Phone (763) 732-0118

National Provider Directory

National Provider Directory

Locations

12800 Industrial Park Blvd
Ste 150D
Plymouth, MN 55441
Phone (763) 732-0118

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1801062963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12800 INDUSTRIAL PARK BLVD",
            "address_2": "STE 150D",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554413974",
            "telephone_number": "763-732-0118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 INDUSTRIAL PARK BLVD",
            "address_2": "STE 150D",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554413974",
            "telephone_number": "763-732-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN TRANSPORTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "VANG",
        "authorized_official_first_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "763-732-0118"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "349019",
            "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 May 7, 2008; 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.