Organization
IBRAHIM Y HALLOWAY
Active
Other names
Med - Ride
Organization subpart
No
Provider details
NPI number
Authorized official
IBRAHIM Y HALLOWAY (OWNER)
(614) 747-9744
Entity
Organization
Contact information
Practice address
645 N JAMES RD, COLUMBUS, OH 43219-1837
(614) 747-9744
(614) 352-2887
Mailing address
645 N JAMES RD, COLUMBUS, OH 43219-1837
(614) 747-9744
(614) 352-2887
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
251122
OH
343900000X
Non-emergency Medical Transport (VAN)
Primary
258415
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2763442
—
OH
05
—
3044002
—
OH
Enumeration date
10/11/2007
Last updated
04/25/2012
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