Provider Demographics
NPI:1194114512
Name:MED TRANS, INC.
Entity type:Organization
Organization Name:MED TRANS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:IBRAHIM
Authorized Official - Middle Name:Y
Authorized Official - Last Name:HALLOWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-747-6715
Mailing Address - Street 1:443 TRESHAM RD
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-2224
Mailing Address - Country:US
Mailing Address - Phone:614-747-6715
Mailing Address - Fax:614-352-2887
Practice Address - Street 1:443 TRESHAM RD
Practice Address - Street 2:
Practice Address - City:GAHANNA
Practice Address - State:OH
Practice Address - Zip Code:43230-2224
Practice Address - Country:US
Practice Address - Phone:614-747-6715
Practice Address - Fax:614-352-2887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-22
Last Update Date:2015-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)