Healthcare Provider Details

I. General information

NPI: 1376236455
Provider Name (Legal Business Name): FAST-TRANS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2023
Last Update Date: 06/02/2023
Certification Date: 06/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 CHERRY PARK DR NW
CEDAR RAPIDS IA
52405-4756
US

IV. Provider business mailing address

320 CHERRY PARK DR NW
CEDAR RAPIDS IA
52405-4756
US

V. Phone/Fax

Practice location:
  • Phone: 319-491-0492
  • Fax:
Mailing address:
  • Phone: 319-491-0492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: YOUNOUSS FALL
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 319-491-0492