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NPI Code Detail

MEDICARE: ANGEL HEART TRANSPORTATION, LLC

MEDICARE: ANGEL HEART 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
1347E00000XTransportation Broker
2347C00000XPrivate Vehicle

General Provider Information

NPI Number : 1821562109
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANGEL HEART TRANSPORTATION, LLC
Provider Business Mailing Address
First Line : 2210 E LASALLE ST
Second Line : STE 214
City : COLORADO SPRINGS
State : CO
Zip : 80909-0000
Country : US
Telephone Number : 719-650-8221
Fax Number :
Provider Business Practice Location Address
First Line : 2210 E LASALLE ST
Second Line : STE 214
City : COLORADO SPRINGS
State : CO
Zip : 80909-0000
Country : US
Telephone Number : 719-650-8221
Fax Number :
Authorized Official
Title or Position : ONWER
Name : MRS. BRITTANY NICHOLE ALSHAWY
Credential :
Telephone Number : 719-650-8221
Provider Enumeration Date : 01/19/2019
Last Update Date : 02/18/2019

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Directions to “ANGEL HEART TRANSPORTATION, LLC ” Practice Location

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