Provider Demographics
NPI:1972351062
Name:MED TRANSIT SOLUTIONS
Entity type:Organization
Organization Name:MED TRANSIT SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:KAGA
Authorized Official - Last Name:OMOT
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:320-443-4418
Mailing Address - Street 1:720 13TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56304-1535
Mailing Address - Country:US
Mailing Address - Phone:320-443-4418
Mailing Address - Fax:
Practice Address - Street 1:22 WILSON AVE NE STE 15
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56304-0403
Practice Address - Country:US
Practice Address - Phone:320-443-4418
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)