Provider Demographics
NPI:1588103907
Name:BLUE NILE TRANSPORTATION LLC
Entity type:Organization
Organization Name:BLUE NILE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BELEW
Authorized Official - Middle Name:BEKELE
Authorized Official - Last Name:YIGLETU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-980-3294
Mailing Address - Street 1:20841 E 40TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80249-8131
Mailing Address - Country:US
Mailing Address - Phone:720-980-3294
Mailing Address - Fax:720-403-9842
Practice Address - Street 1:20841 E 40TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80249-8131
Practice Address - Country:US
Practice Address - Phone:720-980-3294
Practice Address - Fax:720-403-9842
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-17
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)