Organization
FAMILY RIDE TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FARDOWSO HUBEY (CEO/OWNER)
(380) 206-7067
Entity
Organization
Contact information
Practice address
6161 BUSCH BLVD STE 106, COLUMBUS, OH 43229-2551
(740) 803-8154
Mailing address
6161 BUSCH BLVD STE 106, COLUMBUS, OH 43229-2551
(740) 803-8154
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
253015
STATE BOARD OF EMERGENCY MEDICAL, FIRE AND TRANSPORTATION SERVICES
OH
Enumeration date
02/22/2019
Last updated
03/03/2021
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