Organization
U1ST MEDICAL TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAWANZA R MOORE (CEO/PRESIDENT)
16145590616
Entity
Organization
Contact information
Practice address
1028 LORNABERRY LN, SUITE 1, COLUMBUS, OH 43213-3328
(614) 559-0616
(614) 866-2971
Mailing address
1028 LORNABERRY LN, SUITE 1, COLUMBUS, OH 43213-3328
(614) 559-0616
(614) 866-2971
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
3041023
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3041023
—
OH
Enumeration date
06/14/2010
Last updated
06/14/2010
Update your record
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