Healthcare Provider Details

I. General information

NPI: 1427824093
Provider Name (Legal Business Name): UR WAY OHIO TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2023
Last Update Date: 11/27/2023
Certification Date: 11/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1159 HARLEY RUN DR
BLACKLICK OH
43004-4300
US

IV. Provider business mailing address

1159 HARLEY RUN DR
BLACKLICK OH
43004-9038
US

V. Phone/Fax

Practice location:
  • Phone: 614-696-3978
  • Fax:
Mailing address:
  • Phone: 614-619-0397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number StateNULL

VIII. Authorized Official

Name: JANITIA GREEN
Title or Position: OWNER
Credential:
Phone: 614-696-3978