STATEWIDE MEDICAL TRANSPORTATION (NPI# 1790142883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790142883 |
| Entity Type | Organization |
| Organization Name | STATEWIDE MEDICAL TRANSPORTATION |
| Practice Address |
44 28th Ave N 107e Saint Cloud MN 56303-4588 |
| Mailing Address |
Po Box 853 Saint Cloud MN 56302-0853 |
| Practice Telephone | 3204206587 |
| Mailing Telephone | 3204206587 |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |
| Authorized Official Name | MR. OSMAN GURE (CEO) |
| Authorized Official Telephone | 3204206587 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| Street Address |
44 28TH AVE N 107E |
| City | SAINT CLOUD |
| State | MN |
| Zip Code | 56303-4588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396990891 | Erika Leigh Yancey | Chiropractor | 44 28th Ave N, Suite H, Saint Cloud, MN 56303-4588 | 2008-11-25 |
| 1578938445 | Link World Language Services | Community/Behavioral Health | 44 28th Ave N, Saint Cloud, MN 56303-4588 | 2015-12-03 |
| 1831515048 | Acceleratre Chiropractic & Rehab | Chiropractor | 44 28th Ave N, Suite H, Saint Cloud, MN 56303-4588 | 2014-03-12 |
| 1700016243 | David Wiles Yancey | Chiropractor | 44 28th Ave N, Suite H, Saint Cloud, MN 56303-4588 | 2009-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841800463 | Daniel P Lahr | Radiologic Technologist | St Cloud Va Health Care System, 4801 Veterans Drive, St Cloud, MN 56303 | 2020-08-07 |
| 1730798398 | County of Stearns | Case Management | 705 Courthouse Square, St Cloud, MN 56303 | 2020-07-29 |
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1609420942 | Stephanie Lynne Metzger | Nurse Practitioner | Centracare Clinic Riverc Ampus/nephrology, 1200 Sixth Ave North, St. Cloud, MN 56303 | 2019-07-25 |
| 1306406947 | Willow Tree Acupuncture LLC | Acupuncturist | 203 Cooper Ave N Suite 160, St. Cloud, MN 56303 | 2019-06-17 |
| 1821553520 | Alan Melvin Hoeper | Nurse Anesthetist, Certified Registered | Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 | 2019-02-06 |
| 1437644465 | Brianna Larissa Justin | Speech-Language Pathologist | St. Cloud Hospital, 1406 6th Avenue N, St. Cloud, MN 56303 | 2018-06-22 |
| 1780186486 | Simplicity Health Pa | Family Medicine | 1511 Northway Dr Ste 103, Saint Cloud, MN 56303 | 2018-03-08 |
| 1639682925 | Dereje Beyene | Respiratory Therapist, Certified | 1406 15th Street North, Saint Cloud, MN 56303 | 2017-11-09 |
| 1740792761 | Lisa Ann Horner | Nurse Practitioner | 1555 Northway Drive #110, Centracare Complex Care Clinic, St Cloud, MN 56303 | 2017-10-31 |
| Find all providers in zip 56303 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007126 | Aflah Transportation LLC | Non-emergency Medical Transport (VAN) | 3316 3rd Street North, Suite 129, Saint Cloud, MN 56303 | 2020-03-05 |
| 1477197697 | Priority Care Transport Inc | Non-emergency Medical Transport (VAN) | 6002 Wood Wind Pl, Saint Cloud, FL 34772-7842 | 2019-10-30 |
| 1508329368 | Elite Transport Inc | Non-emergency Medical Transport (VAN) | 14 7th Ave N Ste 35, Saint Cloud, MN 56303-4753 | 2019-04-09 |
| 1245799634 | Divine Transportation Services LLC | Non-emergency Medical Transport (VAN) | 7225 Bridle Path, Saint Cloud, FL 34771 | 2019-03-15 |
| 1598256901 | Greater Mn Trans | Non-emergency Medical Transport (VAN) | 1235 14th St N, Saint Cloud, MN 56303-1763 | 2018-05-21 |
| 1730679143 | Carmen De Lourdes Olvera | Non-emergency Medical Transport (VAN) | 400 Montana Ave, Saint Cloud, FL 34769-2670 | 2018-05-11 |
| 1447776554 | Jubba Transportation Inc | Non-emergency Medical Transport (VAN) | 2719 W Division St Ste 102, Saint Cloud, MN 56301-3420 | 2017-08-21 |
| 1700311297 | Anab Ali Ibrahim | Non-emergency Medical Transport (VAN) | 3540 W Germain St Apt 206, Saint Cloud, MN 56301-7353 | 2017-04-22 |
| 1285091082 | South Transportation Services, Inc | Non-emergency Medical Transport (VAN) | 119 E Saint Germain St, Saint Cloud, MN 56304-0739 | 2016-01-25 |
| 1659738508 | S&h Transportation LLC | Non-emergency Medical Transport (VAN) | 3407 22nd St S Apt 104, Saint Cloud, MN 56301-5079 | 2016-01-23 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 56303 |
Please comment or provide details below to improve the information on STATEWIDE MEDICAL TRANSPORTATION.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.