Provider Demographics
NPI:1215493887
Name:ASI CHARTER, INC
Entity type:Organization
Organization Name:ASI CHARTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EUGENE
Authorized Official - Middle Name:VAUGHN
Authorized Official - Last Name:HAGGEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-649-0700
Mailing Address - Street 1:12420 E CONTROL TOWER RD
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-4144
Mailing Address - Country:US
Mailing Address - Phone:720-649-0700
Mailing Address - Fax:
Practice Address - Street 1:12420 E CONTROL TOWER RD
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80112-4144
Practice Address - Country:US
Practice Address - Phone:720-649-0700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ASI CHARTER, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-02-19
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416A0800XTransportation ServicesAmbulanceAir Transport