Provider Demographics
NPI:1093323446
Name:CITADEL SECURITY USA
Entity Type:Organization
Organization Name:CITADEL SECURITY USA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:BRENT
Authorized Official - Middle Name:WAYNE
Authorized Official - Last Name:JAGGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-314-4185
Mailing Address - Street 1:129 W SHERMAN WAY
Mailing Address - Street 2:
Mailing Address - City:NIXA
Mailing Address - State:MO
Mailing Address - Zip Code:65714-7620
Mailing Address - Country:US
Mailing Address - Phone:877-639-4301
Mailing Address - Fax:970-625-8333
Practice Address - Street 1:304 NORTH AVE STE 2A
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-7522
Practice Address - Country:US
Practice Address - Phone:970-243-0644
Practice Address - Fax:970-625-8333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-21
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)