Healthcare Provider Details

I. General information

NPI: 1265281133
Provider Name (Legal Business Name): SPRING HEALTH TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2024
Last Update Date: 06/12/2024
Certification Date: 06/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4415 BERTHSTONE DR
COLUMBUS OH
43231-8722
US

IV. Provider business mailing address

4415 BERTHSTONE DR
COLUMBUS OH
43231-8722
US

V. Phone/Fax

Practice location:
  • Phone: 614-973-1935
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MAHDI ALI
Title or Position: CEO
Credential:
Phone: 614-973-1935