Provider Demographics
NPI:1821551664
Name:ELIAS TRANSPORTATION SERVICES, LLC
Entity Type:Organization
Organization Name:ELIAS TRANSPORTATION SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER/ACCOUNTANT
Authorized Official - Prefix:
Authorized Official - First Name:RICCI
Authorized Official - Middle Name:
Authorized Official - Last Name:LASCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-404-2539
Mailing Address - Street 1:PO BOX 306
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:CO
Mailing Address - Zip Code:81647-0306
Mailing Address - Country:US
Mailing Address - Phone:970-355-0182
Mailing Address - Fax:970-984-0378
Practice Address - Street 1:406 PALMETTO DR
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:CO
Practice Address - Zip Code:81647-9436
Practice Address - Country:US
Practice Address - Phone:970-355-0182
Practice Address - Fax:970-984-0378
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-09
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000157428Medicaid