Provider Demographics
NPI:1720633761
Name:ALLSTAR NON EMERGENCY MEDICAL TRANSPORATION LLC
Entity Type:Organization
Organization Name:ALLSTAR NON EMERGENCY MEDICAL TRANSPORATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMAHA
Authorized Official - Middle Name:BERHANE
Authorized Official - Last Name:TEKESTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-366-0564
Mailing Address - Street 1:3854 S EVANSTON ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-4033
Mailing Address - Country:US
Mailing Address - Phone:720-366-0564
Mailing Address - Fax:
Practice Address - Street 1:3854 S EVANSTON ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-4033
Practice Address - Country:US
Practice Address - Phone:720-366-0564
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-06
Last Update Date:2019-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)