Healthcare Provider Details

I. General information

NPI: 1598287781
Provider Name (Legal Business Name): EMPIRE MEDICAL TRANSPORTATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2017
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1361 S WILLOW ST APT 104
DENVER CO
80247-2189
US

IV. Provider business mailing address

1361 S WILLOW ST APT 104
DENVER CO
80247-2189
US

V. Phone/Fax

Practice location:
  • Phone: 720-800-8158
  • Fax:
Mailing address:
  • Phone: 720-800-8158
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: ANDOM WELDEHIWET
Title or Position: MANAGER
Credential:
Phone: 720-800-8158