Provider Demographics
NPI:1447083464
Name:SAFESIDE TRANSPORT LLC
Entity type:Organization
Organization Name:SAFESIDE TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:ABDULLAHI
Authorized Official - Last Name:ALI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-876-8705
Mailing Address - Street 1:6201 161ST ST W
Mailing Address - Street 2:
Mailing Address - City:ROSEMOUNT
Mailing Address - State:MN
Mailing Address - Zip Code:55068-1333
Mailing Address - Country:US
Mailing Address - Phone:612-876-8705
Mailing Address - Fax:612-235-7953
Practice Address - Street 1:6201 161ST ST W
Practice Address - Street 2:
Practice Address - City:ROSEMOUNT
Practice Address - State:MN
Practice Address - Zip Code:55068-1333
Practice Address - Country:US
Practice Address - Phone:612-876-8705
Practice Address - Fax:612-235-7953
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)