MEDICARE: ROYAL MEDICAL TRANSPORTATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1063995215
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROYAL MEDICAL TRANSPORTATION

Provider Business Mailing Address
First Line	:	2586 TILLER LN STE 2C
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-2265
Country	:	US
Telephone Number	:	614-426-4326
Fax Number	:	614-426-4325

Provider Business Practice Location Address
First Line	:	2586 TILLER LN STE 2C
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-2265
Country	:	US
Telephone Number	:	614-426-4326
Fax Number	:	614-426-4325

Authorized Official
Title or Position	:	CEO
Name	:	MS. UBAH MOHAMED JAMA
Credential	:
Telephone Number	:	614-426-4326

Provider Enumeration Date	:	09/13/2018
Last Update Date	:	09/13/2018

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Directions to “ROYAL MEDICAL TRANSPORTATION ” Practice Location

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