Provider Demographics
NPI:1326727058
Name:HEXA TRANSPORT LLC
Entity Type:Organization
Organization Name:HEXA TRANSPORT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TESAFYE
Authorized Official - Middle Name:
Authorized Official - Last Name:ADMASU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-588-8261
Mailing Address - Street 1:955 S HAVANA ST APT 130
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80012-2912
Mailing Address - Country:US
Mailing Address - Phone:303-588-8261
Mailing Address - Fax:
Practice Address - Street 1:102 S TEJON ST STE 1100
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-2253
Practice Address - Country:US
Practice Address - Phone:303-588-8261
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-11
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)