Healthcare Provider Details

I. General information

NPI: 1154859312
Provider Name (Legal Business Name): PROMPT MEDICAL TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2017
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2244 S HAMILTON RD
COLUMBUS OH
43232-4390
US

IV. Provider business mailing address

6825 NOBADEER TRL
REYNOLDSBURG OH
43068-5142
US

V. Phone/Fax

Practice location:
  • Phone: 614-966-3523
  • Fax:
Mailing address:
  • Phone: 614-966-3523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343800000X
TaxonomySecured Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State

VIII. Authorized Official

Name: TRAI LAVAIL HUNTER
Title or Position: CEO
Credential:
Phone: 614-966-3523