Provider Demographics
NPI:1992582829
Name:MERCY AMBULANCE LLC
Entity type:Organization
Organization Name:MERCY AMBULANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDIKARIM
Authorized Official - Middle Name:HASAN
Authorized Official - Last Name:NUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-599-6926
Mailing Address - Street 1:915 PEPPERCORN PL
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43230-5072
Mailing Address - Country:US
Mailing Address - Phone:614-599-6926
Mailing Address - Fax:
Practice Address - Street 1:915 PEPPERCORN PL
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-5072
Practice Address - Country:US
Practice Address - Phone:614-599-6926
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance