MEDICARE: LET'S GO TRANSPORTATION

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)	982050710	CO

General Provider Information

NPI Number	:	1578945721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LET'S GO TRANSPORTATION

Provider Business Mailing Address
First Line	:	3541 ELM ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80207-1023
Country	:	US
Telephone Number	:	720-298-7498
Fax Number	:

Provider Business Practice Location Address
First Line	:	3541 ELM ST
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80207-1023
Country	:	US
Telephone Number	:	720-298-7498
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ISAIAH WARD
Credential	:
Telephone Number	:	720-298-7498

Provider Enumeration Date	:	06/24/2015
Last Update Date	:	06/24/2015

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Directions to “LET'S GO TRANSPORTATION ” Practice Location

Language	Start Address	Practice Location

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