Provider Demographics
NPI:1104402460
Name:UNITED TRANSIT
Entity type:Organization
Organization Name:UNITED TRANSIT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ABESELOM
Authorized Official - Middle Name:
Authorized Official - Last Name:GAMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-579-6867
Mailing Address - Street 1:19988 E 40TH PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80249-7200
Mailing Address - Country:US
Mailing Address - Phone:720-579-6867
Mailing Address - Fax:
Practice Address - Street 1:19988 E 40TH PL
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80249-7200
Practice Address - Country:US
Practice Address - Phone:720-579-6867
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-18
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)