Provider Demographics
NPI:1285912139
Name:CROWN TRANSPORTATION
Entity type:Organization
Organization Name:CROWN TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:AHMEDNUR
Authorized Official - Middle Name:ELMI
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:507-271-7904
Mailing Address - Street 1:1312 1/2 7TH STREET NW
Mailing Address - Street 2:SUITE 204
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901
Mailing Address - Country:US
Mailing Address - Phone:550-727-1790
Mailing Address - Fax:507-292-9999
Practice Address - Street 1:1312 AND 1/2 7TH STREET NW
Practice Address - Street 2:SUITE 204
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901
Practice Address - Country:US
Practice Address - Phone:550-727-1790
Practice Address - Fax:507-292-9999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-26
Last Update Date:2011-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)