Provider Demographics
NPI:1407028111
Name:MONTROSE TRANSIT AUTHORITY
Entity Type:Organization
Organization Name:MONTROSE TRANSIT AUTHORITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:KUKLISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-249-0593
Mailing Address - Street 1:2686 MAYA WAY
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-5361
Mailing Address - Country:US
Mailing Address - Phone:970-249-0593
Mailing Address - Fax:970-964-4271
Practice Address - Street 1:2686 MAYA WAY
Practice Address - Street 2:
Practice Address - City:MONTROSE
Practice Address - State:CO
Practice Address - Zip Code:81401-5361
Practice Address - Country:US
Practice Address - Phone:970-249-0593
Practice Address - Fax:970-964-4271
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO55750344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi