Provider Demographics
NPI:1366216079
Name:T.N.W. TRANSPORTATION SERVICE
Entity type:Organization
Organization Name:T.N.W. TRANSPORTATION SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DALANA
Authorized Official - Middle Name:
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-517-1664
Mailing Address - Street 1:6100 W STATE ST APT 122
Mailing Address - Street 2:
Mailing Address - City:WAUWATOSA
Mailing Address - State:WI
Mailing Address - Zip Code:53213-2997
Mailing Address - Country:US
Mailing Address - Phone:414-517-1664
Mailing Address - Fax:
Practice Address - Street 1:6100 W STATE ST APT 122
Practice Address - Street 2:
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53213-2997
Practice Address - Country:US
Practice Address - Phone:414-517-1664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TNW TRANSPORTATION SERVICE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)