Evident Transport Llc | |
940 Hastings Ave St Paul Park MN 55071-1315 | |
(651) 300-0140 | |
Not Available |
Full Name | Evident Transport Llc |
---|---|
Speciality | Clinic/center |
Location | 940 Hastings Ave, St Paul Park, Minnesota |
Authorized Official Name and Position | Nche Mou-bayong (OWNER) |
Authorized Official Contact | 6513000140 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Evident Transport Llc 940 Hastings Ave St Paul Park MN 55071-1315 Ph: () - | Evident Transport Llc 940 Hastings Ave St Paul Park MN 55071-1315 Ph: (651) 300-0140 |
NPI Number | 1720833759 |
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Provider Enumeration Date | 04/22/2024 |
Last Update Date | 07/10/2025 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720833759 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Evident Healthcare Management Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 940 Hastings Ave, St Paul Park, MN 55071 Phone: 651-300-0140 | |
Evident Social Services Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 940 Hastings Ave, St Paul Park, MN 55071 Phone: 651-300-0140 |