MEDICARE: MEKELIT 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
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1295385771
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEKELIT TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	5562 LAREDO WAY
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80239-7018
Country	:	US
Telephone Number	:	303-648-1361
Fax Number	:

Provider Business Practice Location Address
First Line	:	5562 LAREDO WAY
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80239-7018
Country	:	US
Telephone Number	:	303-648-1361
Fax Number	:

Authorized Official
Title or Position	:	TRANSPORTATION SERVICE
Name	:	SINDU KELKAY
Credential	:
Telephone Number	:	303-648-1361

Provider Enumeration Date	:	09/16/2019
Last Update Date	:	09/16/2019

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