Organization
PLATINUM MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT L CASS (OWNER)
(303) 777-3788
Entity
Organization
Contact information
Practice address
2758 S KNOXVILLE WAY, DENVER, CO 80227-3858
(303) 777-3788
(303) 940-7773
Mailing address
PO BOX 100130, DENVER, CO 80250-0130
(303) 777-3788
(303) 777-3788
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2006-2
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10025480400
NE MEDICAID
CO
05
—
88624382
—
CO
Enumeration date
03/13/2007
Last updated
02/08/2008
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