Provider Demographics
NPI:1679183222
Name:TOUCAN TRANSPORTATION
Entity Type:Organization
Organization Name:TOUCAN TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:III
Authorized Official - Credentials:CAC, CCGC
Authorized Official - Phone:504-261-4976
Mailing Address - Street 1:PO BOX 2637
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70059-2637
Mailing Address - Country:US
Mailing Address - Phone:504-298-9424
Mailing Address - Fax:504-766-6792
Practice Address - Street 1:2439 MANHATTAN BLVD STE 102-4
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-5473
Practice Address - Country:US
Practice Address - Phone:504-261-4976
Practice Address - Fax:504-766-6792
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-07
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker