Active NPI
Good Samaritan Transportation
- Non-emergency Medical Transport (VAN)
- Plymouth, MN
National Provider Identifier
1801062963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- License
- 349019
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.