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NPI Code Detail

MEDICARE: ROYAL TRANSPORTATION LLC

MEDICARE: ROYAL TRANSPORTATION 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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1164003588
Entity Type Code : Organization
Provider Name (Legal Business Name) : ROYAL TRANSPORTATION LLC
Provider Business Mailing Address
First Line : 1680 KEITH DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80916-2251
Country : US
Telephone Number : 720-940-6688
Fax Number :
Provider Business Practice Location Address
First Line : 1680 KEITH DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80916-2251
Country : US
Telephone Number : 720-940-6688
Fax Number :
Authorized Official
Title or Position : OWNER
Name : FITSUM BIRHANU DEBALKE
Credential :
Telephone Number : 720-940-6688
Provider Enumeration Date : 04/16/2021
Last Update Date : 07/13/2021

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Directions to “ROYAL TRANSPORTATION LLC ” Practice Location

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