Provider Demographics
NPI:1609256999
Name:ALPHA PARATRANSIT, LLC
Entity Type:Organization
Organization Name:ALPHA PARATRANSIT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ADIAMSEGED
Authorized Official - Middle Name:W
Authorized Official - Last Name:WOLDEMARIAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-923-3788
Mailing Address - Street 1:8801 E HAMPDEN AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-4956
Mailing Address - Country:US
Mailing Address - Phone:303-923-3788
Mailing Address - Fax:303-536-6363
Practice Address - Street 1:8801 E HAMPDEN AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-4956
Practice Address - Country:US
Practice Address - Phone:303-923-3788
Practice Address - Fax:303-536-6363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-02
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO20081137955343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)