Provider Demographics
NPI:1710616263
Name:MILE HIGH AMBULANCE, LLC
Entity Type:Organization
Organization Name:MILE HIGH AMBULANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:RESCHENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-584-0773
Mailing Address - Street 1:PO BOX 22440
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-0440
Mailing Address - Country:US
Mailing Address - Phone:303-564-6636
Mailing Address - Fax:720-398-3477
Practice Address - Street 1:3251 S ZUNI ST
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-1965
Practice Address - Country:US
Practice Address - Phone:303-564-6636
Practice Address - Fax:720-398-3477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-09
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport