Minnesota Loon Transport LLC

Primary specialty

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

License

835303100038 Issued in MN

Legal business name

MINNESOTA LOON TRANSPORT LLC

Practice address

2260 118TH Ave NE
Blaine, MN 55449-5443

Phone

(763) 742-0952

NPI assigned

Aug 12, 2015

Organization subpart

No

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

Authorized official

Name

Maftuha Hassan

Title

Co-Owner

Phone

(763) 742-0952

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1881060929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2260 118TH AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 118TH AVE NE",
            "city": "BLAINE",
            "state": "MN",
            "postal_code": "554495443",
            "telephone_number": "763-742-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINNESOTA LOON TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "MAFTUHA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "763-742-0952"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "MN",
            "license": "835303100038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Non-emergency Medical Transport (VAN) in Blaine, MN
• Providers in Blaine, 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 Aug 12, 2015; 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.