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Northome-tealwood Transportation
Private Vehicle in Northome, Minnesota
NPI 1811032964

Northome-tealwood Transportation is a Private Vehicle based in Northome, MN. Northome-tealwood Transportation practices in Northome, MN. The NPI Number for Northome-tealwood Transportation is 1811032964 and holds a License No. (Minnesota).

The current practice location address for Northome-tealwood Transportation is 11995 Main Street, Northome, MN and can be reached out via phone at 218-897-5235.

Location: 11995 Main Street, Northome, MN, 56661
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811032964
Provider Name
Northome-tealwood Transportation
Credential
Provider Entity Type
Organization
Address
11995 Main Street, Northome, MN, 56661
Phone Number
218-897-5235
Fax Number
Provider Enumeration Date
02/20/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
123157 01 MN UCARE
12G08TE 01 MN BCBS
8120872 01 MN MEDICA
institution
Provider Business Practice Location Address Details
Address
11995 Main Street
City
Northome
State
Minnesota
Zip
56661
Phone Number
218-897-5235
Fax Number
person
Provider Business Mailing Address Details
Address
11995 Main Street
City
Northome
State
Minnesota
Zip
56661
Phone Number
218-897-5235
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
(Minnesota)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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