Provider Demographics
NPI:1205033065
Name:DPS TRANSPORTATION LLC
Entity Type:Organization
Organization Name:DPS TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINUS
Authorized Official - Middle Name:
Authorized Official - Last Name:NYAMBU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-884-4882
Mailing Address - Street 1:1206 W 96TH ST
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55431-2606
Mailing Address - Country:US
Mailing Address - Phone:952-884-4882
Mailing Address - Fax:952-884-0284
Practice Address - Street 1:1216 W 96TH ST STE A
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55431-2657
Practice Address - Country:US
Practice Address - Phone:952-884-4882
Practice Address - Fax:952-884-0284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN427721000Medicaid
MN181717OtherU-CARE