Healthcare Provider Details

I. General information

NPI: 1104345446
Provider Name (Legal Business Name): ROUNDTOWN TAXI OF CIRCLEVILLE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

130 E MAIN ST
CIRCLEVILLE OH
43113-1726
US

IV. Provider business mailing address

130 E MAIN ST
CIRCLEVILLE OH
43113-1726
US

V. Phone/Fax

Practice location:
  • Phone: 740-420-2525
  • Fax:
Mailing address:
  • Phone: 740-420-2525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: MR. RICHARD E HOLMES
Title or Position: OWNER
Credential:
Phone: 740-207-7344