BOULDER CREEK TRANSPORTATION, INC. (NPI# 1225420318) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225420318 |
| Entity Type | Organization |
| Organization Name | BOULDER CREEK TRANSPORTATION, INC. |
| Practice Address |
103 Eagle Canyon Circle Lyons CO 80540 |
| Mailing Address |
Po Box 936 Lyons CO 80540-0936 |
| Practice Telephone | 7204282526 |
| Mailing Telephone | 7204282526 |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |
| Authorized Official Name | MR. PAUL WETZELBERGER (PRESIDENT) |
| Authorized Official Telephone | 7204282526 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | 922489529 | CO | Transportation Services |
| Street Address |
103 EAGLE CANYON CIRCLE |
| City | LYONS |
| State | CO |
| Zip Code | 80540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780282368 | Zachary Mitchell Kruger | Counselor | 419 4th Avenue, Lyons, CO 80540 | 2020-10-15 |
| 1619595642 | Lisa Hassin Lpc LLC | Counselor | 418 High Street, Lyons, CO 80540 | 2020-07-07 |
| 1144779018 | Julia Ann Ebert | Physical Therapist | 435 High St, Lyons, CO 80540 | 2016-10-03 |
| 1255724647 | Bertrand Babinet | Acupuncturist | 405 Vasquez Ct, Lyons, CO 80540 | 2015-03-10 |
| 1841426269 | Michelle L Kramer | Occupational Therapist | 519 2nd Avenue, Lyons, CO 80540 | 2009-06-01 |
| 1144484908 | Jacqueline Ann Brennan | Occupational Therapist | 435 High Street, Lyons, CO 80540 | 2008-07-10 |
| 1912173998 | Laurie A Harper | Physical Therapist | 206 Welch Ct, Lyons, CO 80540 | 2008-04-30 |
| 1679628952 | James Robert Hart | Counselor | 304 Main Street, Unit C, Lyons, CO 80540 | 2007-01-24 |
| 1932256773 | Bronwyn K Muldoon | Specialist | 442 High St, Lyons, CO 80540 | 2007-01-04 |
| 1528132891 | Abigail Emily Spencer | Social Worker | 234 Welch Dr., Lyons, CO 80540 | 2006-11-20 |
| Find all providers in zip 80540 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972863181 | Medivan Transport, LLC | Non-emergency Medical Transport (VAN) | 234 N Victory Dr, Lyons, GA 30436-1036 | 2012-05-22 |
| 1043355191 | Rice County Council On Aging | Non-emergency Medical Transport (VAN) | 117 West Ave S, Lyons, KS 67554-2723 | 2007-02-20 |
| 1659718229 | V.a. Transportation Network Foundation | Non-emergency Medical Transport (VAN) | 151 Knollcroft Rd, Bldg. 8; Suite 131; Attn: Transportation-vts, Lyons, NJ 07939-5001 | 2013-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273294 | Dereje Habte Dembelo | Non-emergency Medical Transport (VAN) | 2765 Lumberjack Dr, Colorado Springs, CO 80920-1434 | 2020-10-23 |
| 1982203691 | Safe Mobility LLC | Non-emergency Medical Transport (VAN) | 7049 Renegade Ridge Dr, Colorado Springs, CO 80923-4187 | 2020-10-22 |
| 1215534516 | Lily LLC | Non-emergency Medical Transport (VAN) | 1679 S Elkhart St, Aurora, CO 80012-5765 | 2020-10-08 |
| 1720685365 | Tarig Salih | Non-emergency Medical Transport (VAN) | 5940 S Fairplay St, Centennial, CO 80016-4713 | 2020-10-06 |
| 1598372609 | Damota Transportations LLC | Non-emergency Medical Transport (VAN) | 3575 S Zeno Way Unit 202, Aurora, CO 80013-3573 | 2020-09-23 |
| 1437765203 | Comfort Ride Trans LLC | Non-emergency Medical Transport (VAN) | 14408 E Tennessee Ave Apt 121, Aurora, CO 80012-3617 | 2020-09-17 |
| 1326651605 | Tirfesa Egu | Non-emergency Medical Transport (VAN) | 3332 Viero Dr, Colorado Springs, CO 80916-5738 | 2020-08-26 |
| 1346852993 | Ab Transportation | Non-emergency Medical Transport (VAN) | 1300 S Willow St Apt 9102, Denver, CO 80247-2147 | 2020-08-17 |
| 1891306460 | Royal Express LLC | Non-emergency Medical Transport (VAN) | 1316 26th St Unit 203, Denver, CO 80205-2086 | 2020-08-16 |
| 1558972323 | Yesmaalem Yitagesu Zewoldemariam | Non-emergency Medical Transport (VAN) | 1190 Bell Tower Hts Apt 208, Colorado Springs, CO 80916-1951 | 2020-08-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.