Provider Demographics
NPI:1851096366
Name:TSM TRANSPORT LLC
Entity Type:Organization
Organization Name:TSM TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:DEGOCE
Authorized Official - Last Name:NIYONYISHU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-771-8837
Mailing Address - Street 1:4109 NE 6TH ST
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50021-1954
Mailing Address - Country:US
Mailing Address - Phone:515-771-8837
Mailing Address - Fax:
Practice Address - Street 1:4109 NE 6TH ST
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50021-1954
Practice Address - Country:US
Practice Address - Phone:515-771-8837
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)