Provider Demographics
NPI:1215146139
Name:ROCKY MOUNTAIN ACCESS TRANSPORTATION, INC
Entity type:Organization
Organization Name:ROCKY MOUNTAIN ACCESS TRANSPORTATION, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:KHEIRANDISH PISHKENARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-691-2373
Mailing Address - Street 1:2200 S JASMINE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-5708
Mailing Address - Country:US
Mailing Address - Phone:303-691-2373
Mailing Address - Fax:303-691-2383
Practice Address - Street 1:2200 S JASMINE ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-5708
Practice Address - Country:US
Practice Address - Phone:303-691-2373
Practice Address - Fax:303-691-2383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO57223262343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCOTP127587AOtherTRADE PARTNER