MBC Transportation LLC

Primary specialty

Private VehicleTaxonomy code 347C00000X

Legal business name

MBC TRANSPORTATION LLC

Practice address

15553 E Wyoming Dr Unit D
Aurora, CO 80017-4730

Phone

(720) 236-4416

NPI assigned

Jun 1, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tesfahun Woldemariam

Title

Owner

Phone

(720) 236-4416

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1104519321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15553 E WYOMING DR UNIT D",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800174730",
            "telephone_number": "720-236-4416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15553 E WYOMING DR UNIT D",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800174730",
            "telephone_number": "720-236-4416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MBC TRANSPORTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-01",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "WOLDEMARIAM",
        "authorized_official_first_name": "TESFAHUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-236-4416"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Private Vehicle in Aurora, CO
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.