Organization
COLUMBINE EXPRESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SERGEY TKACHENKO (PRESIDENT)
(303) 933-1260
Entity
Organization
Contact information
Practice address
13228 W JEWELL PL, LAKEWOOD, CO 80228-4222
(303) 952-0383
Mailing address
13228 W JEWELL PL, LAKEWOOD, CO 80228-4222
(303) 952-0383
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B-9910
CO
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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