Provider Demographics
NPI:1326825811
Name:BIG LEED TRANSPORTATION
Entity Type:Organization
Organization Name:BIG LEED TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRUSTEE/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KHALID
Authorized Official - Middle Name:RASOOL
Authorized Official - Last Name:MEEKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-517-7070
Mailing Address - Street 1:4130 MORNING SUN AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-6618
Mailing Address - Country:US
Mailing Address - Phone:719-517-7070
Mailing Address - Fax:
Practice Address - Street 1:4130 MORNING SUN AVE APT 4
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-6618
Practice Address - Country:US
Practice Address - Phone:719-517-7070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-11
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No342000000XTransportation ServicesTransportation Network Company
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347E00000XTransportation ServicesTransportation Broker