Provider Demographics
NPI:1841017605
Name:DRUID TRANSPORTATION
Entity type:Organization
Organization Name:DRUID TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:AMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HIDRU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-319-1843
Mailing Address - Street 1:7995 E MISSISSIPPI AVE APT J6
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-2042
Mailing Address - Country:US
Mailing Address - Phone:720-319-1843
Mailing Address - Fax:
Practice Address - Street 1:7995 E MISSISSIPPI AVE APT J6
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-2042
Practice Address - Country:US
Practice Address - Phone:720-319-1843
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)