Provider Demographics
NPI:1114619665
Name:HI MEDICAL TRANSPORTATION
Entity Type:Organization
Organization Name:HI MEDICAL TRANSPORTATION
Other - Org Name:HI MEDICAL TRANSPORTATION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANGER
Authorized Official - Prefix:
Authorized Official - First Name:WONDEMAGEGENHU
Authorized Official - Middle Name:T
Authorized Official - Last Name:MEQUANENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-276-8274
Mailing Address - Street 1:2175 ACADEMY CIR STE 9
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80909-1682
Mailing Address - Country:US
Mailing Address - Phone:720-276-8274
Mailing Address - Fax:
Practice Address - Street 1:2175 ACADEMY CIR STE 9
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-1682
Practice Address - Country:US
Practice Address - Phone:720-276-8274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No342000000XTransportation ServicesTransportation Network Company
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347E00000XTransportation ServicesTransportation Broker