Provider Demographics
NPI:1538840293
Name:GOLDEN TECH TRANSPORTATION LLC
Entity type:Organization
Organization Name:GOLDEN TECH TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLAUDE
Authorized Official - Middle Name:
Authorized Official - Last Name:TUYIKEZE
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:515-770-4256
Mailing Address - Street 1:1619 25TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:ALTOONA
Mailing Address - State:IA
Mailing Address - Zip Code:50009-2168
Mailing Address - Country:US
Mailing Address - Phone:515-770-4256
Mailing Address - Fax:
Practice Address - Street 1:1619 25TH AVE SW
Practice Address - Street 2:
Practice Address - City:ALTOONA
Practice Address - State:IA
Practice Address - Zip Code:50009-2168
Practice Address - Country:US
Practice Address - Phone:515-770-4256
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-26
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)