Organization
CAPITAL CITY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMED JELLE (CEO)
(614) 596-1007
Entity
Organization
Contact information
Practice address
3435 WESTERVILLE RD, COLUMBUS, OH 43224
(614) 596-1007
(614) 453-8712
Mailing address
3435 WESTERVILLE RD, COLUMBUS, OH 43224
(614) 596-1007
(614) 453-8712
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
FJW6453
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0051141
—
OH
01
—
2557862
DODD CONTRACT NUMBER
OH
Enumeration date
11/15/2011
Last updated
11/15/2011
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