Provider Demographics
NPI:1285324434
Name:CONNECT TRIP SYSTEMS LLC
Entity type:Organization
Organization Name:CONNECT TRIP SYSTEMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VICTOR
Authorized Official - Middle Name:IFEGWU
Authorized Official - Last Name:IFEAKACHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-731-2372
Mailing Address - Street 1:6161 BUSCH BLVD STE 80
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43229-2548
Mailing Address - Country:US
Mailing Address - Phone:614-772-9766
Mailing Address - Fax:
Practice Address - Street 1:6161 BUSCH BLVD STE 80
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-2548
Practice Address - Country:US
Practice Address - Phone:740-732-2372
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-11
Last Update Date:2023-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)