MEDICARE: PATIENT TRANSPORT SERVICES OF COLUMBUS LLC

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	341600000X	Ambulance	25-044-9	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	590013796	OTHER		MEDICARE RR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1164750451
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PATIENT TRANSPORT SERVICES OF COLUMBUS LLC

Provider Business Mailing Address
First Line	:	1700 EDISON DR
Second Line	:	SUITE 300
City	:	MILFORD
State	:	OH
Zip	:	45150-2729
Country	:	US
Telephone Number	:	513-576-0262
Fax Number	:	513-576-0379

Provider Business Practice Location Address
First Line	:	2160 SOUTHWEST BLVD
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123-1893
Country	:	US
Telephone Number	:	614-234-0300
Fax Number	:	614-234-0311

Authorized Official
Title or Position	:	VP FINANCE, CFO
Name	:	MR. WILLIAM S. HERDTNER
Credential	:
Telephone Number	:	513-576-0262

Provider Enumeration Date	:	11/24/2009
Last Update Date	:	05/21/2015

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