MEDICARE: BEN EXPRESS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1780548941
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEN EXPRESS LLC

Provider Business Mailing Address
First Line	:	7993 EUROGREY CT
Second Line	:
City	:	BLACKLICK
State	:	OH
Zip	:	43004-8102
Country	:	US
Telephone Number	:	614-805-4646
Fax Number	:

Provider Business Practice Location Address
First Line	:	7993 EUROGREY CT
Second Line	:
City	:	BLACKLICK
State	:	OH
Zip	:	43004-8102
Country	:	US
Telephone Number	:	614-805-4646
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	TAMERU BEYENE
Credential	:
Telephone Number	:	614-805-4646

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

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Directions to “BEN EXPRESS LLC ” Practice Location

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