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NPI Code Detail

MEDICARE: AMERICAN AMBULLETE

MEDICARE: AMERICAN AMBULLETE
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
1343900000XNon-emergency Medical Transport (VAN)255175OH

Other Identifiers

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

General Provider Information

NPI Number : 1184952749
Entity Type Code : Organization
Provider Name (Legal Business Name) : AMERICAN AMBULLETE
Provider Business Mailing Address
First Line : 4770 INDIANOLA AVE
Second Line : SUITE E
City : COLUMBUS
State : OH
Zip : 43214-1862
Country : US
Telephone Number : 614-840-9444
Fax Number :
Provider Business Practice Location Address
First Line : 5008 MAGNOLIA BLOSSOM BLVD
Second Line :
City : COLUMBUS
State : OH
Zip : 43230-1029
Country : US
Telephone Number : 614-840-9444
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : ABDINASIR ELMI
Credential :
Telephone Number : 614-332-5810
Provider Enumeration Date : 11/19/2009
Last Update Date : 11/19/2009

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Directions to “AMERICAN AMBULLETE ” Practice Location

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