Provider Demographics
NPI:1174060479
Name:OUT N' ABOUT, LLC
Entity type:Organization
Organization Name:OUT N' ABOUT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BENJAMIN
Authorized Official - Middle Name:
Authorized Official - Last Name:STRICKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-910-5288
Mailing Address - Street 1:6636 S LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80121-2545
Mailing Address - Country:US
Mailing Address - Phone:303-910-5288
Mailing Address - Fax:
Practice Address - Street 1:6636 S LAFAYETTE ST
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80121-2545
Practice Address - Country:US
Practice Address - Phone:303-910-5288
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-24
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO19476345Medicaid