MEDICARE: 1ST AA FAST 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)

General Provider Information

NPI Number	:	1851085781
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	1ST AA FAST TRANSPORTATION LLC

Provider Business Mailing Address
First Line	:	4330 CEYLON CT
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80249-6540
Country	:	US
Telephone Number	:	720-288-7874
Fax Number	:

Provider Business Practice Location Address
First Line	:	4330 CEYLON CT
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80249-6540
Country	:	US
Telephone Number	:	720-288-7874
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ADANECH HABETE
Credential	:
Telephone Number	:	720-288-7874

Provider Enumeration Date	:	06/05/2023
Last Update Date	:	06/05/2023

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Directions to “1ST AA FAST TRANSPORTATION LLC ” Practice Location

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