Provider Demographics
NPI:1306622329
Name:MB TRANSPORTATION LLC
Entity type:Organization
Organization Name:MB TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:TIERRALEE
Authorized Official - Last Name:BELGARDE
Authorized Official - Suffix:
Authorized Official - Credentials:CO OWNER
Authorized Official - Phone:701-885-2818
Mailing Address - Street 1:1354 10TH ST N
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58102-2502
Mailing Address - Country:US
Mailing Address - Phone:877-358-5798
Mailing Address - Fax:
Practice Address - Street 1:1354 10TH ST N
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58102-2502
Practice Address - Country:US
Practice Address - Phone:877-358-5798
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No2278P4000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedPatient TransportGroup - Multi-Specialty
No2279P4000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, RegisteredPatient TransportGroup - Multi-Specialty