Provider Demographics
NPI:1154026250
Name:MACHANCE TRANSIT SERVICES OF IOWA LLC
Entity type:Organization
Organization Name:MACHANCE TRANSIT SERVICES OF IOWA LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROFESSIONAL DRIVER
Authorized Official - Prefix:
Authorized Official - First Name:FAUSTIN
Authorized Official - Middle Name:MUHIZI
Authorized Official - Last Name:MAHIRWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-851-0610
Mailing Address - Street 1:1255 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:WAUKEE
Mailing Address - State:IA
Mailing Address - Zip Code:50263-9216
Mailing Address - Country:US
Mailing Address - Phone:515-851-0610
Mailing Address - Fax:
Practice Address - Street 1:1255 CEDAR ST
Practice Address - Street 2:
Practice Address - City:WAUKEE
Practice Address - State:IA
Practice Address - Zip Code:50263-9216
Practice Address - Country:US
Practice Address - Phone:515-851-0610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-30
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No347C00000XTransportation ServicesPrivate Vehicle