MEDICARE: A2B MEDICAL 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	:	1952774200
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A2B MEDICAL TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	1350 LAWRENCE ST APT 3C
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-2062
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1350 LAWRENCE ST APT 3C
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80204-2062
Country	:	US
Telephone Number	:	720-496-8953
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	OMER AHMED
Credential	:
Telephone Number	:	720-496-8953

Provider Enumeration Date	:	11/09/2015
Last Update Date	:	11/09/2015

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