Provider Demographics
NPI:1316104052
Name:MINNESOTA IMMIGRANT SERVICES
Entity type:Organization
Organization Name:MINNESOTA IMMIGRANT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MUSTAFA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARIF
Authorized Official - Suffix:
Authorized Official - Credentials:COMMUNITY LEADER
Authorized Official - Phone:507-271-9254
Mailing Address - Street 1:PO BOX 8492
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55903-8492
Mailing Address - Country:US
Mailing Address - Phone:507-280-4029
Mailing Address - Fax:507-281-1107
Practice Address - Street 1:1405 MARION RD SE
Practice Address - Street 2:107
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-2741
Practice Address - Country:US
Practice Address - Phone:507-280-4029
Practice Address - Fax:507-281-1107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-20
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Single Specialty
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)Group - Single Specialty