Provider Demographics
NPI:1427474329
Name:COLUMBUS NON-EMERGENCY MEDICAL TRANSPORTATION
Entity type:Organization
Organization Name:COLUMBUS NON-EMERGENCY MEDICAL TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HENOK
Authorized Official - Middle Name:
Authorized Official - Last Name:NIGATU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-806-4465
Mailing Address - Street 1:7934 OAK VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-1578
Mailing Address - Country:US
Mailing Address - Phone:614-806-4465
Mailing Address - Fax:
Practice Address - Street 1:7934 OAK VALLEY RD
Practice Address - Street 2:
Practice Address - City:REYNOLDSBURG
Practice Address - State:OH
Practice Address - Zip Code:43068-1578
Practice Address - Country:US
Practice Address - Phone:614-806-4465
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-15
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2274451343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)