Provider Demographics
NPI:1215280938
Name:LINK TRANSPORTATION SERVICES
Entity type:Organization
Organization Name:LINK TRANSPORTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HARED
Authorized Official - Middle Name:NUR
Authorized Official - Last Name:JIBRIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-282-4557
Mailing Address - Street 1:2844 W. ST GERMAINE STREET SUITE 103
Mailing Address - Street 2:
Mailing Address - City:ST CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301
Mailing Address - Country:US
Mailing Address - Phone:320-281-3136
Mailing Address - Fax:320-217-5443
Practice Address - Street 1:2844 W SAINT GERMAIN ST APT 103
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-1700
Practice Address - Country:US
Practice Address - Phone:320-281-3136
Practice Address - Fax:320-217-5443
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN376992OtherSPECIAL TRANSPORTATION SERVICE