MEDICARE: BIG LEED TRANSPORTATION

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	342000000X	Transportation Network Company
3	343900000X	Non-emergency Medical Transport (VAN)
4	347E00000X	Transportation Broker
5	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1326825811
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BIG LEED TRANSPORTATION

Provider Business Mailing Address
First Line	:	4130 MORNING SUN AVE APT 4
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-6618
Country	:	US
Telephone Number	:	719-517-7070
Fax Number	:

Provider Business Practice Location Address
First Line	:	4130 MORNING SUN AVE APT 4
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-6618
Country	:	US
Telephone Number	:	719-517-7070
Fax Number	:

Authorized Official
Title or Position	:	TRUSTEE/MANAGER
Name	:	KHALID RASOOL MEEKS
Credential	:
Telephone Number	:	719-517-7070

Provider Enumeration Date	:	09/11/2023
Last Update Date	:	09/11/2023

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Directions to “BIG LEED TRANSPORTATION ” Practice Location

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