Provider Demographics
NPI:1316698186
Name:VISION NON-EMERGENCY MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:VISION NON-EMERGENCY MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TRANSPORTATION
Authorized Official - Prefix:MR
Authorized Official - First Name:ADDISU
Authorized Official - Middle Name:A
Authorized Official - Last Name:BIREGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-394-2300
Mailing Address - Street 1:1755 TELSTAR DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-1016
Mailing Address - Country:US
Mailing Address - Phone:720-394-2300
Mailing Address - Fax:
Practice Address - Street 1:1755 TELSTAR DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-1016
Practice Address - Country:US
Practice Address - Phone:720-394-2300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)