Provider Demographics
NPI:1104684380
Name:MEDICURA TRANSPORT SOLUTIONS
Entity type:Organization
Organization Name:MEDICURA TRANSPORT SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:FADUMO
Authorized Official - Middle Name:C
Authorized Official - Last Name:DAAHIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-743-1378
Mailing Address - Street 1:8537 CARDIFF LN
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-7661
Mailing Address - Country:US
Mailing Address - Phone:612-743-1378
Mailing Address - Fax:
Practice Address - Street 1:8537 CARDIFF LN
Practice Address - Street 2:
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55344-7661
Practice Address - Country:US
Practice Address - Phone:612-743-1378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)