Provider Demographics
NPI:1871015792
Name:RELIANCE TRANSPORTATION SERVICES
Entity Type:Organization
Organization Name:RELIANCE TRANSPORTATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AMIN
Authorized Official - Middle Name:MAHDI
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-230-9011
Mailing Address - Street 1:2620 S PARKER RD STE 273
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-1627
Mailing Address - Country:US
Mailing Address - Phone:651-230-9011
Mailing Address - Fax:
Practice Address - Street 1:2620 S PARKER RD
Practice Address - Street 2:SUITE 273
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014
Practice Address - Country:US
Practice Address - Phone:720-270-0420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-12
Last Update Date:2017-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
20171514445OtherCOLORADO SECRETARY OF STATE