Organization · Type 2 NPI

Roseau County Committee On Aging

Private Vehicle · Roseau, MN

NPI number 1922231695 Active

Practice location

215 Main Ave S
Roseau, MN 56751-1422

Call (218) 463-3177 Map

Fax (218) 463-0001

Mailing address

PO Box 189, 215 South Main
Roseau, MN 56751-0189

Specialties and licenses

Taxonomy	Code	License
Private Vehicle Primary	347C00000X	None listed

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

NPI record

NPI: 1922231695
Entity type: Organization (Type 2)
Issued: Aug 28, 2009
Last updated: Aug 28, 2009
Status: Active
Subpart: Yes of Roseau County Committee On Aging

Other names

<unavail>
Senior Medical Travel · other name

Authorized official

Mrs. Gayle Ruth Gustafson
Coordinator
(218) 463-3177

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1922231695

Roseau County Committee On Aging's National Provider Identifier is 1922231695, issued on Aug 28, 2009. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Roseau, MN. The record was last updated on Aug 28, 2009.