MEDICARE: TRUNEH 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	:	1063264919
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRUNEH TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	4089 GOLD BUG ST
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80019-2300
Country	:	US
Telephone Number	:	202-597-7430
Fax Number	:

Provider Business Practice Location Address
First Line	:	4089 GOLD BUG ST
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80019-2300
Country	:	US
Telephone Number	:	202-597-7430
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ZEMENE YOHANNES TRUNEH
Credential	:
Telephone Number	:	202-597-7430

Provider Enumeration Date	:	04/03/2024
Last Update Date	:	04/03/2024

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