Healthcare Provider Details

I. General information

NPI: 1053036731
Provider Name (Legal Business Name): PROMINENT MEDICAL TRANSPORTATION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2022
Last Update Date: 10/05/2022
Certification Date: 10/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1448 BARNES DR E
COLUMBUS OH
43229-9001
US

IV. Provider business mailing address

1448 BARNES DR E
COLUMBUS OH
43229-9001
US

V. Phone/Fax

Practice location:
  • Phone: 614-592-3984
  • Fax:
Mailing address:
  • Phone: 614-592-3984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: MS. NANNA HORTON
Title or Position: MANAGER
Credential:
Phone: 614-592-3984