Healthcare Provider Details

I. General information

NPI: 1710679402
Provider Name (Legal Business Name): SODAK TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2023
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2821 S PARKER RD STE 225
DENVER CO
80014-2737
US

IV. Provider business mailing address

2821 S PARKER RD STE 225
DENVER CO
80014-2737
US

V. Phone/Fax

Practice location:
  • Phone: 303-335-7064
  • Fax:
Mailing address:
  • Phone: 303-335-7064
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: DEJENE KASA
Title or Position: DIRECTOR
Credential:
Phone: 303-335-7064