1528398112 NPI number — HORIZON TRANSPORTATION INC ,

Table of content: (NPI 1528398112)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528398112 NPI number — HORIZON TRANSPORTATION INC ,

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HORIZON TRANSPORTATION INC ,
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
HORIZON TRANSPORTATION INC.
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528398112
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/08/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 8324
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MINNEAPOLIS
Provider Business Mailing Address State Name:
MN
Provider Business Mailing Address Postal Code:
55408-0324
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
612-998-6994
Provider Business Mailing Address Fax Number:
612-721-4726

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2700 E LAKE ST STE 2100
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MINNEAPOLIS
Provider Business Practice Location Address State Name:
MN
Provider Business Practice Location Address Postal Code:
55406-3252
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
612-998-6994
Provider Business Practice Location Address Fax Number:
612-721-4726
Provider Enumeration Date:
01/05/2010

Additional Information

Authorized Official

Authorized Official Last Name:
MOHAMED
Authorized Official First Name:
MUSTAFA
Authorized Official Middle Name:
A
Authorized Official Title or Position:
CO-OWNER
Authorized Official Telephone Number:
612-998-6994

Provider Taxonomy Codes

  • Taxonomy code: 343900000X , with the licence number:  2393570-2 , registered in the state of MN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com