MEDICARE: TRINITY TRANSPORT INC

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	:	1518632181
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRINITY TRANSPORT INC

Provider Business Mailing Address
First Line	:	1642 S PARKER RD STE 105
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-2918
Country	:	US
Telephone Number	:	720-243-6064
Fax Number	:	303-317-3429

Provider Business Practice Location Address
First Line	:	1642 S PARKER RD STE 105
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-2918
Country	:	US
Telephone Number	:	720-243-6064
Fax Number	:	303-317-3429

Authorized Official
Title or Position	:	MANAGER
Name	:	YONAS A TESSEMA
Credential	:
Telephone Number	:	720-243-6064

Provider Enumeration Date	:	08/15/2021
Last Update Date	:	08/15/2021

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Directions to “TRINITY TRANSPORT INC ” Practice Location

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