Provider Demographics
NPI:1992583983
Name:ST CLOUD METRO TRANSPORTATION LLC
Entity type:Organization
Organization Name:ST CLOUD METRO TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TOHOW
Authorized Official - Middle Name:
Authorized Official - Last Name:SIYAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-239-1572
Mailing Address - Street 1:2917 15TH AVE S
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56301-5690
Mailing Address - Country:US
Mailing Address - Phone:612-239-1572
Mailing Address - Fax:
Practice Address - Street 1:2917 15TH AVE S
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56301-5690
Practice Address - Country:US
Practice Address - Phone:612-239-1572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes342000000XTransportation ServicesTransportation Network Company