Organization
SS TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SINTAYEHU ADERA TADESSE (OWNER(MANAGER))
(720) 273-7889
Entity
Organization
Contact information
Practice address
1602 S PARKER RD, SUTE 101, DENVER, CO 80231-2919
(720) 492-3934
(719) 362-4102
Mailing address
8841 E FLORIDA AVE, DENVER, CO 80247-2831
(720) 273-7889
(719) 362-4102
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B-09995
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06753019
—
CO
Enumeration date
12/29/2015
Last updated
12/29/2015
Update your record
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