Healthcare Provider Details
I. General information
NPI: 1649407800
Provider Name (Legal Business Name): PRI-VALUE INSURANCE & FINNANCIAL SERVICES AGENCY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/16/2009
Last Update Date: 06/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1150 MORSE RD 307
COLUMBUS OH
43229-6327
US
IV. Provider business mailing address
1150 MORSE RD 307
COLUMBUS OH
43229-6327
US
V. Phone/Fax
- Phone: 614-270-0448
- Fax: 877-777-6890
- Phone: 614-270-0448
- Fax: 877-777-6890
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347B00000X |
| Taxonomy | Bus |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 347C00000X |
| Taxonomy | Private Vehicle |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
ERNEST
MENSAH
OPUNI
Title or Position: PRINCIPAL
Credential:
Phone: 614-270-0448