Provider Demographics
NPI:1932947827
Name:EXPRESS MEDICAL TRANSPORTATION INC
Entity type:Organization
Organization Name:EXPRESS MEDICAL TRANSPORTATION INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALIDAHIR
Authorized Official - Middle Name:Y
Authorized Official - Last Name:MOHAMED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-898-7777
Mailing Address - Street 1:659 PARK MEADOW RD STE A
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-2879
Mailing Address - Country:US
Mailing Address - Phone:888-335-2200
Mailing Address - Fax:614-898-7775
Practice Address - Street 1:659 PARK MEADOW RD STE A
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-2879
Practice Address - Country:US
Practice Address - Phone:888-335-2200
Practice Address - Fax:614-898-7775
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EXPRESS MEDICAL TRANSPORTATION INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-07-16
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)