Organization · NPI-2

Pure Medical Transportation

Non-emergency Medical Transport (VAN) · Maple Grove, MN

NPI number1407201031
StatusActive
Last updated in NPPESMay 2, 2016

Details

NPI
1407201031
Entity type
Organization (NPI-2)
Legal business name
Pure Medical Transportation
Organization subpart
No
Enumeration date
May 2, 2016
Last updated
May 2, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
343900000X Non-emergency Medical Transport (VAN)––Yes

Practice location

9201 Garland Ln N Apt 132
Maple Grove, MN 55311-1341

Phone 952-297-7855

Mailing address

9201 Garland Ln N Apt 132
Maple Grove, MN 55311-1341

Phone 952-297-7855

Authorized official

Ahmedo Kamal Mohammed
Owner
9522977855

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