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NPI Code Detail

MEDICARE: ATLAS TRANS

MEDICARE: ATLAS TRANS
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
1343900000XNon-emergency Medical Transport (VAN)CO

General Provider Information

NPI Number : 1154770139
Entity Type Code : Organization
Provider Name (Legal Business Name) : ATLAS TRANS
Provider Business Mailing Address
First Line : 1582 S PARKER RD STE 102A
Second Line :
City : DENVER
State : CO
Zip : 80231-2715
Country : US
Telephone Number : 720-238-3568
Fax Number : 303-848-4850
Provider Business Practice Location Address
First Line : 1582 S PARKER RD STE 102A
Second Line :
City : DENVER
State : CO
Zip : 80231-2715
Country : US
Telephone Number : 720-238-3568
Fax Number : 303-848-4850
Authorized Official
Title or Position : OWNER
Name : AHMED MANSUR OMAR
Credential :
Telephone Number : 720-238-3568
Provider Enumeration Date : 06/09/2016
Last Update Date : 06/09/2016

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Directions to “ATLAS TRANS ” Practice Location

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