Healthcare Provider Details

I. General information

NPI: 1912387747
Provider Name (Legal Business Name): WESTFIELD MEDICAL TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2015
Last Update Date: 06/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7346 E SEVERN PL
DENVER CO
80230-6153
US

IV. Provider business mailing address

7346 E SEVERN PL
DENVER CO
80230-6153
US

V. Phone/Fax

Practice location:
  • Phone: 720-278-5508
  • Fax:
Mailing address:
  • Phone: 720-278-5508
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License NumberB-10019
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License NumberB-10019
License Number StateCO

VIII. Authorized Official

Name: MR. ASHRAF ALI SULIMAN
Title or Position: OWNER
Credential:
Phone: 720-278-5508