Healthcare Provider Details

I. General information

NPI: 1811028269
Provider Name (Legal Business Name): CITY OF COLUMBUS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/08/2007
Last Update Date: 02/27/2023
Certification Date: 02/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3639 PARSONS AVE
COLUMBUS OH
43207-4054
US

IV. Provider business mailing address

PO BOX 78000 DEPT 781182
DETROIT MI
48278-0001
US

V. Phone/Fax

Practice location:
  • Phone: 614-221-3132
  • Fax: 614-645-6332
Mailing address:
  • Phone: 614-221-3132
  • Fax: 614-645-6332

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number02-0328282 10625
License Number StateOH

VIII. Authorized Official

Name: GEORGE E SPEAKS
Title or Position: DEPUTY DIRECTOR OF PUBLIC SAFETY
Credential:
Phone: 614-645-8210