MEDICARE: ACCESS MEDICAL TRANSPORTATION

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	:	1922313642
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCESS MEDICAL TRANSPORTATION

Provider Business Mailing Address
First Line	:	3310 MORSE RD
Second Line	:	107
City	:	COLUMBUS
State	:	OH
Zip	:	43231-6191
Country	:	US
Telephone Number	:	614-515-7862
Fax Number	:

Provider Business Practice Location Address
First Line	:	3310 MORSE RD
Second Line	:	107
City	:	COLUMBUS
State	:	OH
Zip	:	43231-6191
Country	:	US
Telephone Number	:	614-515-7862
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	FAWZI ALI AHMED
Credential	:
Telephone Number	:	614-515-7862

Provider Enumeration Date	:	08/18/2010
Last Update Date	:	08/18/2010

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Directions to “ACCESS MEDICAL TRANSPORTATION ” Practice Location

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