Directory information, not recipient confirmation. Fax numbers can change and differ by department, location, form, or plan. Confirm this destination directly with ModivCare before sending sensitive documents. FaxFlow is not affiliated with this organization.
ModivCare fax number
(877) 601-0535
Facility Enrollment / Provider Enrollment
Used for: Submitting facility enrollment forms for ModivCare's Non-Emergency Medical Transportation (NEMT) services (e.g., Medi-Cal/CHPIV provider enrollment).
Fax destination details
- Department
- Facility Enrollment / Provider Enrollment
- Purpose
- Submitting facility enrollment forms for ModivCare's Non-Emergency Medical Transportation (NEMT) services (e.g., Medi-Cal/CHPIV provider enrollment).
- Form
- Enrollment form — ModivCare Enrollment Form
- Address
- 6900 East Layton Avenue, Denver, CO 80237, USA
- Voice phone
- 866-529-2128
- Website
- Visit organization website
Before you send
- Confirm that this exact department handles your document or request.
- Check the organization website or call its main line for the current fax number.
- Include a cover sheet and any case, member, claim, or form reference required.
- Keep the delivery confirmation with your submission records.
Print the enrollment form from ModivCare's website and fax it to 877-601-0535 to enroll as a provider for NEMT services.
Review official form instructionsSources and verification
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