MEDICARE: AIR RIDE COLORADO 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	343800000X	Secured Medical Transport (VAN)

General Provider Information

NPI Number	:	1770472151
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AIR RIDE COLORADO LLC

Provider Business Mailing Address
First Line	:	940 S IOLA ST
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80012-3007
Country	:	US
Telephone Number	:	703-909-3727
Fax Number	:

Provider Business Practice Location Address
First Line	:	940 S IOLA ST
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80012-3007
Country	:	US
Telephone Number	:	703-909-3727
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BIRUK GETNET ESHETU
Credential	:
Telephone Number	:	703-909-3727

Provider Enumeration Date	:	07/01/2025
Last Update Date	:	07/01/2025

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Directions to “AIR RIDE COLORADO LLC ” Practice Location

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