Provider Demographics
NPI:1871479444
Name:MINNCARE TRANSPORTAION
Entity type:Organization
Organization Name:MINNCARE TRANSPORTAION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ISXAQ
Authorized Official - Middle Name:
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-707-3686
Mailing Address - Street 1:9217 17TH AVE S STE 207
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55425-2371
Mailing Address - Country:US
Mailing Address - Phone:612-707-3686
Mailing Address - Fax:
Practice Address - Street 1:9217 17TH AVE S STE 207
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55425-2371
Practice Address - Country:US
Practice Address - Phone:612-707-3686
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MINNCARE TRANSPORTAION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-08-11
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)