Provider Demographics
NPI:1760962302
Name:MILE HIGH NATIVE LLC
Entity Type:Organization
Organization Name:MILE HIGH NATIVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MEGDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-336-3405
Mailing Address - Street 1:1312 17TH ST # 170
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-1508
Mailing Address - Country:US
Mailing Address - Phone:720-336-3405
Mailing Address - Fax:
Practice Address - Street 1:9090 E COLORADO CIR
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-2924
Practice Address - Country:US
Practice Address - Phone:720-336-3405
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-14
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)