MEDICARE: SALAM RIDE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1073467171
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SALAM RIDE LLC

Provider Business Mailing Address
First Line	:	2301 E PIKES PEAK AVE STE 103
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-8006
Country	:	US
Telephone Number	:	719-415-8482
Fax Number	:

Provider Business Practice Location Address
First Line	:	2301 E PIKES PEAK AVE STE 103
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80909-8006
Country	:	US
Telephone Number	:	719-415-8482
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MEDHANE KIDANE
Credential	:
Telephone Number	:	720-400-1334

Provider Enumeration Date	:	02/25/2026
Last Update Date	:	02/25/2026

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Directions to “SALAM RIDE LLC ” Practice Location

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