Healthcare Provider Details

I. General information

NPI: 1497505218
Provider Name (Legal Business Name): TRANSPORT IOWA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2024
Last Update Date: 03/25/2024
Certification Date: 03/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 ABIGAIL LN
WAUKEE IA
50263-8744
US

IV. Provider business mailing address

185 ABIGAIL LN
WAUKEE IA
50263-8744
US

V. Phone/Fax

Practice location:
  • Phone: 515-745-7588
  • Fax:
Mailing address:
  • Phone: 515-745-7588
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: THOMAS G. MUELLER
Title or Position: OWNER
Credential:
Phone: 515-745-7588