Healthcare Provider Details
I. General information
NPI: 1467386870
Provider Name (Legal Business Name): TWAN'S TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2497B W CHICAGO ST
RAPID CITY SD
57702-2467
US
IV. Provider business mailing address
10215 BELLINGHAM DR
SUMMERSET SD
57718-9271
US
V. Phone/Fax
- Phone: 269-861-5506
- Fax:
- Phone: 269-861-5506
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 342000000X |
| Taxonomy | Transportation Network Company |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ANTWAN
EVANS
Title or Position: CEO/OWNER
Credential:
Phone: 269-861-5506