Provider Demographics
NPI:1407612906
Name:AAA MEDICAID RIDE
Entity Type:Organization
Organization Name:AAA MEDICAID RIDE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EMBET
Authorized Official - Middle Name:
Authorized Official - Last Name:BEJIGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-410-2728
Mailing Address - Street 1:2851 S PARKER RD STE 610
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2727
Mailing Address - Country:US
Mailing Address - Phone:720-410-2728
Mailing Address - Fax:720-645-2836
Practice Address - Street 1:2851 S PARKER RD STE 610
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2727
Practice Address - Country:US
Practice Address - Phone:720-410-2728
Practice Address - Fax:720-645-2836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)