Provider Demographics
NPI:1346022852
Name:ANY TIME TRANSPORTATION SERVICES
Entity Type:Organization
Organization Name:ANY TIME TRANSPORTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:DIEUFAITE
Authorized Official - Middle Name:
Authorized Official - Last Name:MYTIL
Authorized Official - Suffix:
Authorized Official - Credentials:BBA
Authorized Official - Phone:561-336-8015
Mailing Address - Street 1:421 W BROADWAY STE 302
Mailing Address - Street 2:
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51503-9046
Mailing Address - Country:US
Mailing Address - Phone:561-336-8015
Mailing Address - Fax:
Practice Address - Street 1:421 W BROADWAY STE 302
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51503-9046
Practice Address - Country:US
Practice Address - Phone:561-336-8015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-18
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)