RYAN SELBRADE (NPI# 1538586714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538586714 |
| Entity Type | Individual |
| Full Name | RYAN SELBRADE |
| Practice Address |
427 E Blue Earth Ave Fairmont MN 56031-3948 |
| Practice Telephone | 5072300554 |
| Mailing Telephone | 5072300554 |
| Enumeration Date | 2014-03-25 |
| Last Update Date | 2014-03-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 343900000X | Non-emergency Medical Transport (VAN) | Y025290968607 | MN | Transportation Services |
| Y | 347C00000X | Private Vehicle | Y025290968607 | MN | Transportation Services |
| Street Address |
427 E BLUE EARTH AVE |
| City | FAIRMONT |
| State | MN |
| Zip Code | 56031-3948 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407097025 | David Robert Rynders | Counselor | 301 Downtown Plaza, #3, Fairmont, MN 56031 | 2009-03-11 |
| 1992902449 | Wal-mart Stores, Inc. | Technician/Technologist | 1250 Goemann Road, Fairmont, MN 56031 | 2007-06-28 |
| 1417099813 | Thomas Joe Larson | Dentist | 800 Clinic Circle, Fairmont, MN 56031 | 2007-02-13 |
| 1912076795 | Rem Heartland Inc | Intermediate Care Facility, Mentally Retarded | 111 Dorothy Street, Fairmont, MN 56031 | 2006-11-07 |
| 1750466322 | Rem Heartland Inc | Intermediate Care Facility, Mentally Retarded | 107 Dorothy Street, Fairmont, MN 56031 | 2006-10-25 |
| 1588744155 | Kerri Lynn Henderson | Chiropractor | 115 1/2 West Blue Earth Ave, Fairmont, MN 56031 | 2006-10-17 |
| 1427142199 | Maurice Lee Shoen | Counselor | 115 West First St, Fairmont, MN 56031 | 2006-10-03 |
| 1538253703 | Nathan Craig Jorgenson | Dentist | 717 South State Street, Suite 600, Fairmont, MN 56031 | 2006-10-03 |
| 1942311154 | Leon James Rochovitz | Optometrist | 288 S State Street, Five Lakes Centre, Fairmont, MN 56031 | 2006-08-31 |
| 1215903414 | Mayo Clinic Hospital-rochester | Clinic/Center | 835 Johnson Street, Fairmont, MN 56031 | 2006-02-27 |
| Find all providers in zip 56031 | ||||
| Taxonomy Code | 347C00000X |
| Grouping | Transportation Services |
| Classification | Private Vehicle |
| An individual paid to provide non-emergency transportation using their privately owned/leased vehicle. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992318901 | All Pro Transport Service | Private Vehicle | 34585 Us Hwy 59 Se, Erskine, MN 56535 | 2020-08-28 |
| 1881206522 | Ivan Kuznetsov | Private Vehicle | 34585 Us Highway 59 Se, Erskine, MN 56535-9465 | 2020-08-22 |
| 1578089959 | West Central Minnesota Communities Action, Inc. | Private Vehicle | 411 Industrial Park Blvd, Elbow Lake, MN 56531-4213 | 2017-08-17 |
| 1124541404 | Sharon Novell | Private Vehicle | 8411 Sheridan Av N, Minneapolis, MN 55444 | 2017-07-19 |
| 1689101131 | Mohamed Mohamed | Private Vehicle | 5701 Shingle Creek Pkwy Ste 600f, Brooklyn Center, MN 55430-2355 | 2017-05-15 |
| 1194264549 | Obsa Mohamed | Private Vehicle | 2520 Rhode Island Ave N Apt 8, Golden Valley, MN 55427-3590 | 2017-02-17 |
| 1780122861 | Pro Health Home Care | Private Vehicle | 8717 Prestwick Pkwy N, Brooklyn Park, MN 55443-3909 | 2017-02-08 |
| 1629526629 | Eagle Transportation | Private Vehicle | 630 N 4th St, Mankato, MN 56001-3413 | 2016-09-19 |
| 1770934499 | Acme Transportation | Private Vehicle | 11356 Cedar Pointe Dr, Minnetonka, MN 55305 | 2016-06-23 |
| 1346690542 | Vanguard Transportation Service, Inc | Private Vehicle | 2160 County Road E W Apt 205, New Brighton, MN 55112-7192 | 2016-06-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.