Healthcare Provider Details
I. General information
NPI: 1881502375
Provider Name (Legal Business Name): SIAMO TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1598 IVY HATCH WAY
PLUMAS LAKE CA
95961-8954
US
IV. Provider business mailing address
1598 IVY HATCH WAY
PLUMAS LAKE CA
95961-8954
US
V. Phone/Fax
- Phone: 571-427-5538
- Fax:
- Phone: 571-427-5538
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
SIAKA
NUAH
Title or Position: CO-FOUNDER
Credential:
Phone: 571-492-1794