MEDICARE: T AND H 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)
2	347C00000X	Private Vehicle

General Provider Information

NPI Number	:	1558147561
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	T AND H TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	9394 E ATLANTIC PL
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-5739
Country	:	US
Telephone Number	:	720-427-7231
Fax Number	:

Provider Business Practice Location Address
First Line	:	9394 E ATLANTIC PL
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80231-5739
Country	:	US
Telephone Number	:	720-427-7231
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TEWEDROS S GEZAHEGNE
Credential	:
Telephone Number	:	720-427-7231

Provider Enumeration Date	:	09/05/2023
Last Update Date	:	09/05/2023

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Directions to “T AND H TRANSPORTATION LLC ” Practice Location

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