MEDICARE: RONALD MCDONALD HOUSE CHARITIES OF DENVER, INC

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	:	1942668439
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RONALD MCDONALD HOUSE CHARITIES OF DENVER, INC

Provider Business Mailing Address
First Line	:	1300 E 21ST AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-5218
Country	:	US
Telephone Number	:	303-832-2667
Fax Number	:	303-832-3802

Provider Business Practice Location Address
First Line	:	1300 E 21ST AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80205-5218
Country	:	US
Telephone Number	:	303-832-2667
Fax Number	:	303-832-3802

Authorized Official
Title or Position	:	DIRECTOR OF OPERATIONS
Name	:	KENDRA INGLES
Credential	:
Telephone Number	:	303-832-2667

Provider Enumeration Date	:	01/29/2016
Last Update Date	:	10/05/2022

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