Healthcare Provider Details

I. General information

NPI: 1457037590
Provider Name (Legal Business Name): ALTRUISTIC TRANSPORT LLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2023
Last Update Date: 06/23/2023
Certification Date: 06/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11111 E MISSISSIPPI AVE STE 280A
AURORA CO
80012-3185
US

IV. Provider business mailing address

11111 E MISSISSIPPI AVE STE 280A
AURORA CO
80012-3185
US

V. Phone/Fax

Practice location:
  • Phone: 720-397-9318
  • Fax:
Mailing address:
  • Phone: 720-397-9318
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: ROBERT KOLLEH
Title or Position: PARTNER OF THE ORGANIZATION
Credential:
Phone: 720-397-9318