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NPI Code Detail

MEDICARE: VISTA TRANSPORTATION LLC

MEDICARE: VISTA 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
1343900000XNon-emergency Medical Transport (VAN)

General Provider Information

NPI Number : 1306428834
Entity Type Code : Organization
Provider Name (Legal Business Name) : VISTA TRANSPORTATION LLC
Provider Business Mailing Address
First Line : 12616 E KANSAS DR APT L106
Second Line :
City : AURORA
State : CO
Zip : 80012-6327
Country : US
Telephone Number : 720-692-2676
Fax Number :
Provider Business Practice Location Address
First Line : 12616 E KANSAS DR APT L106
Second Line :
City : AURORA
State : CO
Zip : 80012-6327
Country : US
Telephone Number : 720-692-2676
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : MILLION K ABAY
Credential :
Telephone Number : 720-692-2676
Provider Enumeration Date : 04/23/2021
Last Update Date : 04/23/2021

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Directions to “VISTA TRANSPORTATION LLC ” Practice Location

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