Healthcare Provider Details

I. General information

NPI: 1447616057
Provider Name (Legal Business Name): SPRINGWAY HEALTH AND TRANSPORTATION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2016
Last Update Date: 04/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

983 E MAIN ST
COLUMBUS OH
43205-2342
US

IV. Provider business mailing address

425 W SCHROCK RD
WESTERVILLE OH
43081-8918
US

V. Phone/Fax

Practice location:
  • Phone: 330-475-6504
  • Fax:
Mailing address:
  • Phone: 330-475-6504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateOH

VIII. Authorized Official

Name: DUMKA AWANEN BIRAGBARA
Title or Position: REGISTERED NURSE
Credential:
Phone: 330-475-6504