Provider Demographics
NPI:1912367483
Name:NU WAVE TRANSPORTATION CO
Entity Type:Organization
Organization Name:NU WAVE TRANSPORTATION CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-979-6040
Mailing Address - Street 1:3554 S OLATHE WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-2847
Mailing Address - Country:US
Mailing Address - Phone:720-979-6040
Mailing Address - Fax:720-324-4923
Practice Address - Street 1:3554 S OLATHE WAY
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-2847
Practice Address - Country:US
Practice Address - Phone:720-979-6040
Practice Address - Fax:720-324-4923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-26
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)