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NPI Code Detail

MEDICARE: MACHANCE TRANSIT SERVICES OF IOWA LLC

MEDICARE: MACHANCE TRANSIT SERVICES OF IOWA LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1343800000XSecured Medical Transport (VAN)
2347C00000XPrivate Vehicle
3343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1154026250
Entity Type Code : Organization
Provider Name (Legal Business Name) : MACHANCE TRANSIT SERVICES OF IOWA LLC
Provider Business Mailing Address
First Line : 1255 CEDAR ST
Second Line :
City : WAUKEE
State : IA
Zip : 50263-9216
Country : US
Telephone Number : 515-851-0610
Fax Number :
Provider Business Practice Location Address
First Line : 1255 CEDAR ST
Second Line :
City : WAUKEE
State : IA
Zip : 50263-9216
Country : US
Telephone Number : 515-851-0610
Fax Number :
Authorized Official
Title or Position : PROFESSIONAL DRIVER
Name : FAUSTIN MUHIZI MAHIRWE
Credential :
Telephone Number : 515-851-0610
Provider Enumeration Date : 03/30/2023
Last Update Date : 04/03/2023

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Directions to “MACHANCE TRANSIT SERVICES OF IOWA LLC ” Practice Location

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