Provider Demographics
NPI:1972781490
Name:THOMAS BUS SALES OF IOWA, INC.
Entity Type:Organization
Organization Name:THOMAS BUS SALES OF IOWA, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/GM
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:
Authorized Official - Last Name:STEVENSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-265-6056
Mailing Address - Street 1:5636 NE 14TH ST
Mailing Address - Street 2:P.O. BOX 3028
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50313-1607
Mailing Address - Country:US
Mailing Address - Phone:515-265-6056
Mailing Address - Fax:515-265-6590
Practice Address - Street 1:5636 NE 14TH ST
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50313-1607
Practice Address - Country:US
Practice Address - Phone:515-265-6056
Practice Address - Fax:515-265-6590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0481184Medicaid