Provider Demographics
NPI:1740730621
Name:AMERICAN TRANSIT EXPRESS
Entity type:Organization
Organization Name:AMERICAN TRANSIT EXPRESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:
Authorized Official - Last Name:NNANNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-329-7786
Mailing Address - Street 1:4901 DURHAM CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80239-6451
Mailing Address - Country:US
Mailing Address - Phone:720-329-7786
Mailing Address - Fax:303-307-9964
Practice Address - Street 1:2020 WADSWORTH BLVD
Practice Address - Street 2:UNIT 15
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80214-5728
Practice Address - Country:US
Practice Address - Phone:720-329-7786
Practice Address - Fax:303-307-9964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-04
Last Update Date:2016-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO53207874Medicaid