Provider Demographics
NPI:1588085294
Name:FLYING EAGLE TRANSPORTATION LLC
Entity type:Organization
Organization Name:FLYING EAGLE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CLEOPHAS
Authorized Official - Middle Name:
Authorized Official - Last Name:OMONDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-209-4007
Mailing Address - Street 1:10507 WELCOME DR N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-3271
Mailing Address - Country:US
Mailing Address - Phone:612-209-4007
Mailing Address - Fax:
Practice Address - Street 1:1433 E FRANKLIN AVE
Practice Address - Street 2:SUITE 7B
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-2101
Practice Address - Country:US
Practice Address - Phone:612-209-4007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KOTNA SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-12-23
Last Update Date:2013-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)